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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100589
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
I
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/18/2017 371820
ON CELL Dept of Community Service
VENDOR 1160 D PITTSFORD-VICTOR ROAD SHIP 1 Civic Square
TO Carmel, IN 46032-
PITTSFORD, NY 14534-
PURCHASE ID 7 BLANKET CONTRACT PAYMENT TERMS FREIGHT
17295
I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
— = -J
Department: 1192 Fund: 101 General Fund
Account: 43-509.00
1 Each App for bike $4,788.00 $4,788.00
Sub Total $4,788.00
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT IACCOUNT f PROJECT I PROJECT ACCOUNT L AMOUNT
PAYMENT $4,788.00 /
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.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL1
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*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 i -� Z-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - ---- -
Mike Hollibaugh / 1/1\j1)/��
TITLE Director ^\V
CONTROL NO. 100589 CLERK-TREASURER