30671 Bedell Plumbing INDIANA RETAIL TAX EXEMPT PAGE
IR 1 I! ')p o f Carmel teats- ar p p If e I! L CERTIFICATEN. 003120155 002 0 PURCHASE ORDER NUMBER
\a,/ l4. rEEE... FEDERAL EXCISE TAX EXEMPT 30671
35- 500D0972
ONE CIVIC SQUARE 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
04/18/12 M000692 3(05E03 Repair Water Line
Bedell Plumbing Maint 0 ):45; pp ra q f s�
VENDOR �i� I GST 400 Nor SHIP
"ttl j .1- O Z(J)2
CrEEYI{ I Ii 9Lrl4fl TO
SONNRMATON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
1 EA Water Main (Slab) repair 1 1/2" copper water line $2,500.00 $2,500.00
underneath sidewalk near pool.
Send Invoice To
$2,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125 -4 -04- 4350100 Building Repairs Maint PAYMENT
NP VOUCHER CANNOT HE APPROV FOR PAYMENT UNLESS THE PO
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWOEN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS IN UNOBLIGATED RALANCE
THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER
SHIP REPAID
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. Todd Snyder DK l L S
PURCHASE ORDER HUMBER MUST APPEAR ON ALL ORDERED BY �L\�.•L�' +i� I 1 l
SHIPPING LABELS.
THIS OHDEF ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THEERETO.
30671 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY