102136 CARMEL GLASS & MIRROR INDIANA RETAIL TAX EXEMPT Page 1 of 1
IIitCity of Carrel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102136
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/20/2018 045075 Sta.43
CARMEL GLASS&MIRROR, INC Fire Department
VENDOR PO BOX 337 SHIP 2 Civic Square
TO Carmel, IN 46032-
CARMEL, IN 46082--0337
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31218
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each Install Shower Doors-Sta.43 $992.50 _ $992.50
Sub Total $992.50
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Fire Department £` ,o._ _ ._._ _ �.
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2 Civic Square ..
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
PAYMENT $992.50
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ..2
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY "�
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 102136 CLERK-TREASURER