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HomeMy WebLinkAbout33071 Duke EnergyI INDIANA EXEMPT !City of Carmel � CERTIFICATE NO.003 20155 002 0 1 )11 00\��/�y/ \L� llllll`ly F—FEOERAL EXCISE TAX EXEMPT I ONE CIVICJ SQUARE 35-6000972 I • I CARMEL, INDIANA 46032-2564 i (FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 !PURCHASE ORDER DATE DATE REQUIRED I REQUISITION NO 8/4/2015 VENDOR NO Page 1 a/ 1 PURCHASE ORDER NUMBER 33071 THISNUMBERMUST APPEAR ONWAXES . AP VOUCHER DEUVERY MEMO, PACKING SUPS, SIPPING IAS -EIS AND Mf/ CORRESPONDENCE DESCRIPTION 254004 Duke Pole 10 year Lease DUKE ENERGY VENDOR PO BOX 1326 CHARLOTTE , NC 28201--1326 1, CONFIRMATION I BLANKET I CONTRACT 1 PAYMENT TERMS SHIP TO Information Systems 3 Civic Square Carmel, IN 46032- (3171 571-2576 ( FREIGHT 1 QUANTITY UNIT OF MEASURE. 1 DESCRIPTION UNIT PRICE 1 EXTENSION Department: 1202 Account: 43-530.99 Fund: 101 General Fund 7 Each Duke Pole 10 Year Lease Send Invoice To: Information Systems Terry Crockett 3 Civic Square Carmel, IN '46032- $57.80 Sub Total $404.60 $404.60 PLEASE. �INVOICE IN DUPLICATE T I DEPARTMENT [ - ACCOUNT 1 PROJECT I PROJECT ACCOUNT I AMOUNT j SHIPPING INSTRUCTIONS 'SIP PREPAID. 'COO SHIPMENT CMNNOT BE ACCEPTED. 'EUR0tkSE CRIER IER NUMBER MUST APPEAR ON All SHIPPING IASELS '11115 ORDER ISSUED IN COMPLIANCE WITH CI PTERSO, ACTS 1545 ANDACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO DOCUMENT CONTROL NO. 33071 PAYMENT $404.60 • AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO NUMBER 15 MADE A PARTE THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IBATI UNO&IGATED BALANCE IN THIS APPROPRLIIION SUFFICIENT TO PAY FOR THE ABOVE ORDER ORDERED BY TRL irector - CLERK -TREASURER.