HomeMy WebLinkAbout100736 MID STATE TRUCK EQUIP CORP INDIANA RETAIL TAX EXEMPT
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Clt)r of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00736
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO.PACKING SLIPS,
CARMEL,INDIANA 46032 2584 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
9119/2017 201250
MID STATE TRUCK EQUIP CORP General Administration
VENDOR 11020 ALLISONVILLE RD SHIP Civic Square
TO Cannel, IN 46032-
FISHERS,IN 46038-
PURCHASE ID BLANKET ' CONTRACT PAYMENT TERMS FREIGHT
19139
—JUNIT PRICE EXTENSION
L
QUANTITY UNIT OF MEASURE DESCRIPTION
Department: 1205 Fund: 101 General Fund
Account: 43-501.00
1 Each Building Repairs and Maintenance $5,781.00 $5,781.00
Sub Total $5,781.00
SCANNED
SEP 11 2011
Send Invoice To:
Dept of Administration
1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT —1--- PROJECT ACCOUNT i AMOUNT I
PAYMENT
$5,781.00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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 LABEL 1-4.4..-477
� v �r �/'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ORDERED BY `
im— �•`
.,..ti c"\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. James Crider James Crider
TITLE Administration Administration
CONTROL NO. 100736 CLERK-TREASURER