HomeMy WebLinkAbout32554 KB Industries, Inc. City 0 ®f Carmel � INDIANA RETAIL TAX EXEMPT PAGE
� T1ICATE`NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32554
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
6/12/2015
KB Industries, Inc. Street Department
VENDOR
SHIP 3400 W. 131st Street
Bryan Dairy East, 7300 Bryan Dairy Rd., Ste.400 TO Carmel, IN 46074
Largo, FL 33777 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-509.00
1 Each Flexi-Pave Installation $3,610.98 $3,610.98
Sub Total: $3,610.98
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Send Invoice To: $- ' � '',x ---
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
1 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $3,610.98
• 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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
I SHIPPING INSTRUCTIONS
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ViL____-1•C.O.D.SHIPMENTS CANNOT BE ACCEPTEDORDERED BY )/,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL - -- I,
SHIPPING LABELS. �+ - '
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / •f' I`_ _il',/ ., / <(-.,e,/, - '-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32554 A.P.V. COPY-CLERK-TREASURER
SIGN AND RETURN TO CLERK'S OFFICE