26289 Facilities Managementoil' Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCH „D�VERY MEMO, PACKING SLIPS,
SHIPPING 'BELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
712012012
VENDOR
Facilities Management, LLC
SHIP
TO
Street Department
3460 W. 131st Street
CONFIRMATION
BMAWE- F2icEOiV'IP
61 -Road
PAYMENT TERMS
Carmel, IN tlfd FREIGHT
Indianapolis,
IN
46268
(317) 7332001
QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
Account 0043 - 501.00
1 Each tankless water heaters.
Send Invoice To:
Street Department
3400 W 131st Street
UNIT PRICE
EXTENSION
PLEASE INVOICE IN DUPLICATE
$7,525.17
Sub Total:
$7,525.17
$7.525.17
DERtip/A (T !N p %n
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Str
SPA ppitirOrtNSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26289
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
PAYMENT
• A/P 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 AFFIDAVIT ATTACHED. 07 �A25i.17
• I HEREBYFERTTI Y_ THAT THERE IS AN UNOBLIGATED BALANC I'
THIS APP'OJTION= SUFFICIENT TO 'AY FOR THE ABOVE ORDER.