HomeMy WebLinkAbout100751 DAYSTAR DIRECTIONAL DRILLING INC C• INDIANA RETAIL TAX EXEMPT Page 1 of 1
it of Iiritinie1 , CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100751
ONE CIVIC SQUARE 1 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 Ih
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/25/2017 367799 Bore At Palladium
DAYSTAR DIRECTIONAL DRILLING, INC. Street Department
VENDOR 28923 CUMBERLAND ROAD SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
ATLANTA, IN 46031 - (317)733-2001
PURCHASE ID BLANKET I CONTRACT I PAYMENT TERMS FREIGHT
19267
QUANTITY UNIT OF MEASURE - 1 DESCRIPTION UNIT PRICE EXTENSION
Department: 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each Directional Drilling $6,638.80 $6,638.80
Sub Total $6,638.80
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Send Invoice To: *�"\ .
Street Department
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Carmel, I ,--.._, ., J
(317)733-2001 PLEASE INVOICE IN DUPLICATE
� DEPARTMENT ACCOUNT ' PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $6,638.80
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.
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`THIS E SSUE IN MUST APPEAR H ALL R9 ,ACTS
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`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �.,`-,/p
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 100751 CLERK-TREASURER