26233 S & M DrywallCi
of .0 irmei
• ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2564
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
26233
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO
VENDOR NO.
DESCRIPTION
911712012
$ 8 M Painting and Drywall Co.
VENDOR
520 Industrial Drive
Carmel„ IN 40032
Cannel Police Department
SHIP 3 Civic &quana
To
Carmel, IN 46032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY !UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43601.00
1 Each remyve wall covering / paint walls
1 Each painting
Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic Squats
Cannel, . IN 48032-
PLEASE INVOICE IN DUPLICATE
3575.00
$300.00
Sub Total:
3575.00
$300.00
$875.00
DEPARTMENT
Cannel Police Dept.
ACCOUNT
PROJECT 1 PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• 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. 26233
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
AMOUNT
PAYMENT 3875.00
- AP VOUCHER CANNOT RE APPROVED FOR PAYMENT UNLESS THE Pk
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION PICIENT TO PAY FOP THE ABOVE ORDER.
Chief of Police