31454 Leach & Russell F
City of INDIANA RETAIL TAX EXEMPT PAGE s.
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER N
FEDERAL EXCISE TAX EXEMPT 31454 ;
35-60000972 I
ONE CIVIC SQUARE - THIS NUMBER MUST APPEAR ON I t
CARMEL, INDIANA 46032-2584 t VOUCHER, DELIVERY MEMO, PACKI fir
SHIPPING LABELS AND ANY CORRESPON •
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. - VENDOR NO. DESCRIPTION
1/2112014
Leach&Russell Mechanical Cannel Police Department
VENDOR SHIP 3 Civic Square
9151 Ford Circle TO
Cannel, IN 46032
Fishers, IN 46038 (317)571-2574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
1 Each repairs to air handling unit and heat pump $994.00 $994.00
Sub Total: $994.00
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end Invoice To _°"I �J7((r
Cannel Police Department
Attn: Pat Young
3 Civic Square
Carmel,IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
nel Police Dept. cg PAYMENT $994.00
c.). • 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTI TH T THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP DEFICIENT 'PAY FOR THE ABOVE ORDER.
IIP REPAID.
].D.SHIPMENTS CANNOT WE ACCEPTED. ORDERED BY 1
PRCHASE ORDER NUMBER MUST APPEAR ON ALL
UPPING LABELS. lef of Police
. ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE
b
D ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ■
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