HomeMy WebLinkAbout50562 MID STATE TRUCK EQUIPMENT INC I
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INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER CERTIFICATE NO.003120155 002 0 _.
I
i FEDERAL EXCISE TAX EXEMPT 150562
35-60000972
ONE CIVICSOUARE
CARMEL,INDIANA 4'322-2EE4 THIS NUMBER MUST APPEAR ON INVOICES,NP
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 DATE REQUIRED REQUISITION NO. i VENDOR NO. DESCRIPTION
11/16/2017 11/20/17 14532 201250 Truck tool box for unit#3174
Mid State Truck Equipment Inc. Parks Maintenance
11020 Allisonville Rd 1427 E. 116th Street ATTN:Courtney
VENDOR Fishers, IN 46038 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET ' CONTRACT PAYMENT TERMS _... FREIGHT _.
QUANTITY UNIT OF MEASURE; DESCRIPTION UNIT PRICE
I EXTENSION
1.000 each 127-0-02 Weather Guard Aluminum Saddle Box $749.0000 $749.00
GLAccount#1125401-4232100
Send Invoice To:
$749.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT f AMOUNT
PAYMENT
• A/P 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 1905 ._....._____...._.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER —_ Nc..\\
DOCUMENT CONTROL NO. 50562 VENDOR COPY
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