HomeMy WebLinkAbout38686 Carmel Welding „ . INDIANA RETAIL TAX EXEMPT PAGE 1
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! - 4 ty , - , , -, CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 38686
35-60000972
033;.CIVIC SQUAB
F-RM L.3if01 33-:4. 032-2` =': THIS NUMBER MUST APPEAR ON INVOICES,NP
----- VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/11/2015 06/08/15 5546 STIHL back sprayer repair parts and trimmer replacement head
Carmel Welding Parks Maintenance
550 S Rangeline Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each HL100KV-STIHL trimmer with adjustable head $439.9600 $439.96
GLAccount# 1125401-4350000 = 439.` G,
4.000 each #42477016000 Hose that connects backpack to spray nozzle $ 17.8100 $71.24
on STIHL SG20 sprayer
8.000 each #07971801414 Clips to connect hose to backpack and spray $5.1600 $41.28
nozzle for STIHL SG20 backpack sprayer
GLAccount# 1125413-4237000 7-' t 12.52
Send Invoice To:
$552.48
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
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
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.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut \.1(0,_\-1,./N czkltltc---
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38686 VENDOR COPY