HomeMy WebLinkAbout39319 Carmel WeldingCity of Carmel
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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
343)9
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
1 VENDOR NO.
DESCRIPTION
12/10/2015
12/15/15
7377
oil for small equipment gas mix
Carmel Welding
550 S Rangeline Rd
VENDOR Carmel, IN 46032
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION UNIT PRICE
EXTENSION
2.000
Send Invoice To:
case
#0781-313-8004 - HP Ultra fully synthetic 2 cycle 2.6oz. Bottles $ 104.9900
(48/cs) (to mix with 1 gal gas
GLAccount# 1125401-4232100
PLEASE INVOICE IN DUPLICATE
$ 209.98
$ 209.98
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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 N( 3 9319
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER 15 MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE 15 AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Courtney WeintrautC . - l Cllr l t n
TITLE
CLERK -TREASURER
VENDOR COPY