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ofir Carmel CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100927
ONE CIVIC SQUARE 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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/15/2017 371368 Concrete Removal&Paving Station 42
BAUMGARTNER&COMPANY, INC. Fire Department
VENDOR 15215 RIVER ROAD SHIP 2 Civic Square
TO Carmel, IN 46032-
NOBLESVILLE, IN 46062-
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
20707
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each Concrete Removal&Paving -Station 42 $62,217.00 $62,217.00
Sub Total $62,217.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 9 ACCOUNT PROJECT PROJECT ACCOUNT j AMOUNT
PAYMENT $62,217.00
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.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ( s -
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - t
Denise Snyder James Crider \
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 100927 CLERK-TREASURER