HomeMy WebLinkAbout100860 CONCRETE TAILORS LLC Iit)T
INDIANA RETAIL TAX EXEMPT Page 1 of 1
of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100860
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
10/3012017 364088 Repairs to Clay Center Rd./Main St.
CONCRETE TAILORS LLC Street Department
VENDOR PO BOX 3 SHIP 3400 W. 131st Street
TO Carmel,IN 46074-
NOBLESVILLE, IN 46061 - (317)733-2001
PURCHASE ID BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
20201
QUANTITY UNIT OF MEASURE ` DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-509.00
1 Each Repairs to Clay Center Rd./Main St. $2,675.00 $2,675.00
Sub Total $2,675.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
L
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT J
-- - -- - - -
PAYMENT $2,675.00
•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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /� �/)/ a-m-1_
ORDERED BY --*1*
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Dave Huffman
TITLE Director
CONTROL NO. 100860 CLERK-TREASURER