HomeMy WebLinkAbout50545 MID STATE TRUCK EQUIPMENT INC. f l INDIANA RETAIL TAX EXEMPT -PAGE 1
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CERTIFICATE NO 003120155 002 0
City 0 Carme _. _ ._.� PURCHASE ORDER NUMBER���
FEDERAL EXCISE TAX EXEMPT 50545
35-60000972
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ONE CMC SQUARE
CARMEL,!MAMA 46032.2584 1THIS NUMBER MUST APPEAR ON INVOICES,A/P
1 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 _
PURCHASE ORDER DATE j DATE REQUIRED 1 REQUISITION NO. VENDOR NO. DESCRIPTION
11/10/2017 11/06/17 ;14387 201250 Accessory Equipment for new F-150 Truck#2181
Mid State Truck Equipment Inc. Parks Maintenance
11020 Allisonville Rd SHIP 1427 E. 116th Street ATTN:Courtney
VENDOR Fishers,IN 46038 To Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
1.000 each Weather Guard Tool box standard full size saddle Retail sale $749.0000 $749.00
(not installed)
1.000 each Tekonsha trailer brake controller retail(not installed) $109.0000 $109.00
GLAccount#1125401-4232100
Send Invoice To:
$858.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT l PROJECT ACCOUNT AMOUNT
PAYMENT
• AlP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PA.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
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DOCUMENT CONTROL NO. 50545 VENDOR COPY