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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
39263
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
11/20/2015
11/22/15
7171
Road salt for 2015-2016 winter snow and ice removal
Cargill Incorporated
P.O. Box 98220
VENDOR Chicago, IL 60693-8220
CONFIRMATION
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
40.000
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
DEPARTMENT
ton
Category 7, treated road salt
GtAccount# 1125401-4236500
PLEASE INVOICE IN DUPLICATE
ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 39263
$ 85.4700
$ 3,418.80
$ 3,418.80
PROJECT
PROJECT ACCOUNT
PAYMENT
• AIP 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.
AMOUNT
- I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Courtney Weintraut L 1
1U &., 1C1 C -(Q.\“‘ 1v\Z.1AK
TITLE
CLERK -TREASURER
VENDOR COPY