HomeMy WebLinkAbout33377 Hamilton County Coop......
INDIANA RETAI
TAX EXEMPT Pa1 of
City Of ca irraci j CERTIFICATE N0.. 0031 01550020] I PURCHASE ORDERT
/maynyNUMBER 1
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
:FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR
I FEDERAL EXCISE TAX EXEMPT 33377
356000972 j THIS NUMBER MUST APPEAR ON INVOICES AP
VOUCHER DEINERYMEMO, PACK. GSUPS,
CITY OF CARMEL-199] SRPPING LABELS AND MY CORRESPONDENCE
(PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. 1 DESCRIPTION
1219/2015 119835
HAMILTON COUNTY CO-OP INC
VENDOR PO BOX 1106
NOBLESVILLE, IN 46061 -
CONFIRMATION 'J. BLANKET CONTRACT
SHIP
TO
Communications
31 1st Avenue N.W.
Carmel, IN 46032-
PAYMENT TERMS
(317) 571-2576
FREIGHT
1
MANTIC/ k fi UNIT OF MEASURE
Department: 1115 Account: 42-313.00
1 Each Diesel fuel
DESCRIPTION l UNIT PRICE I EXTENSION
Fund: 101 General Fund.
5500.00 $500.00
Sub Total 5500.00
Send Invoice To::
Communications
31 151 Avenue N.W.
Carmel, IN 46032-
(317) 571-2576
( DEPARTMENT
PLEASE INVOICE IN DUPLICATE
I ACCOUNT I PROJECT I PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
•SCP PREPAID
'C 0 D.SRPMENT C9N410T BE AG' PTED,
'PURCHASE ORDER NUMBER MART APPEAR OIIALL SHIPPING LABEL
'TICS ORDER ISSUED IN COMPLIANCE Y.ITH CHAPTER 59, ACTS 1945
ARO ACTS MENDATMY THEREOF AND SUPPLEMENT THERETO ORDERED BY
CONTROL NO. 33377
TITLE
CLERK -TREASURER
AMOUNT
PAYMENT $50100
• AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS 1 VE P 0 NUMBER R IAAOE A
PART 0F THE VOUCHER AND EVERY E VOCE MO VOUCHER HAS THE PROPER SY.'OHN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS MI UNOBLIGATED BALANCE IN
T HIS APPROPP1ATtON SUF FIGENm TO PAY MINE ABOVE ORDER.
Terry Crockett. Director