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HomeMy WebLinkAbout32525 Carmel Clay Schoolsof Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032 -2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT 4157,,PERTIFICATE ;NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-60000972 PAGE PURCHASE ORDER NUMBER 32525 THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/18/2014 VENDOR Carme Clay Schools 5201 E. 131st Street Carmel, IN 46033 SHIP TO Street Department 3400 W. 131st Street Carmel, IN 46074 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0042 - 314.00 1 Each gasoline Send Invoice To: Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE $2,632.77 Sub Total: $2,632.77 $2,632.77 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department SHIPPING INSTRUCTIONS • SHIP REPAID. • call 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. ORDERED BY TITLE PAYMENT $2,632.77 • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THISAPPROPRIAT ON SUFFICIENT T PAY FOR THE ABOVE ORDER. 3 V.-/ I I, z y COp>nn1I;$IOA -Pr 3 2 5 2 5 A.P.V. LERK - TREASURER DOCUMENT CONTROL NO. COPY - SIGN AND RETURN TO CLERK'S OFFICE