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City of Iiriiiie1I CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00527
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
—PAW—
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. ii VENDOR NO. DESCRIPTION
6/23/2017 I 00352696 2017 Plant Replacements
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T M T INC I Street Department
VENDOR 1719 W 161ST ST SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
WESTFIELD, IN 46074- (317)733-2001
i PURCHASE ID i BLANKET CONTRACT PAYMENT TERMS FREIGHT
16529
QUANTITY j UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 / Fund: 2201 Motor Vehicle Highway FND
Account: 43-504.00 /
1 Each 2017 Plant Replacements / $24,905.00 $24,905.00
Sub Total $24,905.00
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Send Invoice To: '',.‘ , :�7 'k . " ': '
Street Department , '
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3400 W. 131st Street N /, " ,,,,-1.. t`...,
Carmel, IN 46074- _
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $24,905.00
SHIPPING INSTRUCTIONS
*NP 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
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.0 D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE OC41. .. /4/71--"1-4-/-*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -- _- —
Dave Huffman Douglas Haney
TITLE Director Corporation Counsel
CONTROL NO. 1 00527 CLERK-TREASURER