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CERTIFICATE 120155 002 0
FEDERAL EXCISECISE T TAX EXEMPT PURCHASE ORDER NUMBER
50264
35.60000972
DNE CHIC SQUARE
CARMEL,IMU4fia 4354THIS NUMBER MUST APPEAR ON INVOICES,MP
VOUCHER DELIVERY MEMO,PACKING SLIPS,
II SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 --- -
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/21/2017 08/23/17 13760 368839 Led Light bar materials and installation for F-250 fleet#3174
American Eagle Equipment Parks Maintenance
16100 Allisonville Road SHIP 1427 E. 116th Street ATTN:Courtney
VENDOR Noblesville, IN 46060 TO Carmel,IN 46032
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Wheten mini century 16
"light bar $260.0000 $260.00
1.000 each Labor for installation of light bar $80.0000 $80.00
1.000 each shop supplies $20.0000 $20.00
GLAccount#1125401-4351000
Send Invoice To:
$360.00
PLEASE INVOICE IN DUPLICATE
_ DEPARTMENT ACCOUNT PROJECT ,.._ PROJECT ACCOUNT AMOUNT
PAYMENT
AIP 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
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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK TREASURER
DOCUMENT CONTROL NO. 50264 VENDOR COPY