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HomeMy WebLinkAbout32562 Concrete TailorsCi of Gemmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-60000972 PAGE PURCHASE ORDER NUMBER 32562 THIS NUMBER MUST APPEAR ON INVOICES, NP VOUCHER. DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9/10/2015 VENDOR Concrete Tailors P.O. Box 3 Noblesville, IN 46061 SHIP TO Street Department 3400 W. 131st Street Carmel, IN 46074 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION Account 0043-509.00 1 Each Repairs to 96th / Westfield Send Invoice To: Street Department 3400 W. 131st Street Carmel, IN 46074 - PLEASE INVOICE IN DUPLICATE $2,715.00 Sub Total: $2,715.00 $2,715.00 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department SHIPPING INSTRUCTIONS • SHIP REPAID. • C.O.D. SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUSTAPPEAR 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 $2,715.00 • AP VOUCHER CANNOT DE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. Y / / • SC; >te (C,A /$r IC /f ems •'' DOCUMENT CONTROL NO. 32562CLERK-TREASURER A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE