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31858 Terex Services
City y of f C Armen INDIANA RETAIL TAX EXEMPT PAGE ■ I\'/_1111 I`�/ 1'1 ''�;1�J�" ERTIFICATE�NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31858 35-60000972 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 2/24/2014 Terex Services Street Department VENDOR SHIP 3400 W. 131st Street 2650 Roosevelt Ave. TO Carmel, IN 46074 Indianapolis, IN 46218 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION Account 0043-501.00 Each /C.` (5 Sub Total: © © la ii* 6 l� ' ■ ... 4 iii‘Illeik •. a.r.„' 0 - Send Invoice To: •_ _ Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE 314 DL DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT • NP 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS.A'PROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. / -A / 1 /� •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. Jr J//!/ I ///'/ •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /l (' �ni SHIPPING LABELS. I p •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .) +It Pf ✓,do /4,7 i %l /�� •C AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q CLERK-TREASURER DOCUMENT CONTROL NO. 31 H 5 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE