HomeMy WebLinkAbout24763 Hoosier Penn OilCi
of Carmel
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
24763
THIS NUMBER MUST APPEAR ON INVOICES, MP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/92015
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VENDOR
Hoosier Penn Oil
Dept. 19
PO Box 6069
Indianapolis, IN 46206
SHIP
TO
4
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 571-2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
\V
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102-670`99_./
1 Each Self Evac. Waste Oil Drain
2 Each Quart Stroke Drum Pump
2 Each 2 Drum Spill Containment Pallet
4 Each Reelcraft Water Reel
Send Invoice To:
Cannel Fire Department
2 Carmel Civic Square
Cannel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$449.80
$147.19
$280.00
5196.44
Sub Total:
$449.80
$294.38
$560.00
5785.76
52,089.04
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire Department
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.
24763
DOCUMENT CONTROL NO.
PAYMENT - S2,089.94
NT' VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.0.
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 UNOBLIGATEO BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
ORDERED BY
TITLE `��v-v✓aA.
CLERK -TREASURER
OFFICE COPY
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