HomeMy WebLinkAbout38068 Carmel Welding s -' INDIANA RETAIL TAX EXEMPT PAGE 2
CERTIFICATE NO.003120155 002 0 BFIASE EIS NUMBER
City of C�"'•rme FEDERAL EXCISE TAX EXEMPT
(38068
35-60000972
-_ r i_Ir _ _ THIS NUM UST APPEAR ON INVOICES,A/P
OCR R,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
2/10/2015 02/14/15 4175 Seasonal Repair Parts for Stihl Equipment
Carmel Welding Parks Maintenance
550 S Rangeline Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
2.000 each Stihl Air Filter Assembly Kit-Flocke #1123-120-1613 $4.5900 $9.18
2.000 each Stihl Air Filter Assembly Flee-#1127-120-1621 $8.6100 $ 17.22
2.000 each Stihl Air Filter Assembly-#0000-120-1653 $ 28.1600 $56.32
2.000 each Stihl Air Filter-#4223-141-0300 $ 18.9600 $ 37.92
2.000 each Stihl Aux. Filter-#4223-140-1800 $ 8.6100 $ 17.22
2.000 each Stihl Prefilter-#4223-141-0600 $6.3100 $ 12.62
6.000 each Stihl Pick U. :ody-#0000- -0 500 $6.3100 $ 37.86
GLAcco nt# 1125401-4350000
Send Invoice To:
$642.84
PLEASE INVOICE IN DUPLICATE _ 1
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. COD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALI.SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38068 VENDOR COPY
I
' INDIANA RETAIL TAX EXEMPT PAGE 1
jj.�`y� Ca.� Carmel
CERTIFICATE N0.003120155 002 0
iT] PURCHASE ORDER NUMBER
�,J /�+ FEDERAL EXCISE TAX EXEMPT 38068
35-60000972
` �:i+rl- q i::,: I_ _ THIS NUMBER MUST APPEAR ON INVOICES,NP
- 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
2/10/2015 02/14/15 4175 Seasonal Repair Parts for Stihl Equipment
Carmel Welding Parks Maintenance
550 S Rangeline Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 THOIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
2.000 each Stihl Air Filter-#4229-120-1800 $ 5.1600 $ 10.32
16.000 each Stihl Blower Pick Up Body-#0000-350-3502 $6.3100 $ 100.96
16.000 each Stihl Blower Spark Plug Resistor-#0000-400-7000 $2.9800 $47.68
2.000 each Stihl Air Filter-#4241-120-1800 $ 5.1600 $ 10.32
4.000 each Stihl Spark Plug Resistor-#0000-400-7011 $4.8200 $ 19.28
4.000 each Stihl Air Filter#4282-141-0300 $ 11.4900 $45.96
2.000 each Stihl Air Filter-#4203-141-0301 $ 12.6400 $25.28
2.000 each Stihl Prefilter-#4203-120-1500 $8.6100 $ 17.22
2.000 each Stihl Prefilter-#4203-141-0310 $6.8900 $ 13.78
6.000 each Stihl Air Filter-#4180-120-1800 $4.5900 $27.54
8.000 each Stihl Spark Plug Resistor-#0000-999-5246 $4.8200 $ 38.56
2.000 each Stihl Air Filter-#4237-120-1800 $ 5.1600 $ 10.32
2.000 each Stihl Pick Up Body-#000-350-3503 $6.3100 $ 12.62
4.000 each Stihl Pick Up Body-#0000-350-3504 $6.3100 $ 25.24
2.000 each Stihl Air Filter-#1129-120-1602 $24.7100 $49.42
Send Invoice To:
$ 642.84
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. COD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper ICIA.A-K(D-c-paA_ oZ (3((S
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1949
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38068 VENDOR COPY