27709 JMI Mechanical Services, Inc. INDIANA RETAIL TAX EXEMPT PAGE
1 t Of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
:.� FEDERAL EXCISE TAX EXEMPT 27709
35-60000972
ONE CIVIC SQUARE • THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9119/2012
JMI Mechanical Services,Inc. Carmel Communication Center
VENDOR SHIP 31 1st Ave NW
TO
5690 Dividend Road Carmel, IN 46032
Indianapolis, IN 46241 (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-509.00
1 Each Replace rooftop unit w/Bryant 580JJ $5,240.00 $5,240.00 °
series
Sub Total: $5,240.00
lg. 1 -- . , `
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1.2,, '. e lb, .
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Send Invoice To: �`' m
_ J
_ Carmel Communication Center
31 1st Ave NW
• ! Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $5,240.00
• 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 T, E PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERT(FY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPO :SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. y//y r ,.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /y ' - • ,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 27709 OFFICE COPY