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' City CERTIFICATE NO.0091201 S5 002 0
of CarmelPURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 41704
35-60000972
ONE CHIC SQUARE
C4RL+T!. d14.??S -2E THIS NUMBER MUST APPEAR ON INVOICES.AIP
VOUCHER.DELIVERY MEMO.PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CRY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/8/2017 06/13/17 12939 359365 Inlow Pump Replacement
Spear Corp MCC-West
P.O.Box3 SHIP 1235 Central Park Drive East
VENDOR Roachdale, IN 46172 TO Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
1.000 each WhisperFlow 3hpm 2081230V pump $1,524.0000 $1,524.00
GLAccount#1125300-4350000
Send Invoice To:
$1,524.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT I AMOUNT ........,W.,....
PAYMENT
• AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PA.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Eric Mehl
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 41704 \'NDOR euPY
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