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I CERTIFICATE NO 003120155 002 0 1?.
City Cannel j ,... :. PURCHASE ORDER NUMBER _>.
I FEDERAL EXCISE TAX EXEMPT I `,50590
35-60000972 j j.
ONE CIVIC SQUARE _ _. -�----_
CARMEL,91014NA 46032-2564 -.,THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE i DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 1/27/201 7 11/27/17 14584 { 354024 Log grapple skidder 3pt attachment for tractor
Ben Meadows 1 Parks Maintenance
P.O.Box 5275 1427 E. 116th Street ATTN: Courtney
VENDOR Janesville,WI 53547-5275
SH Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS .._� FREIGHT
QUANTITY i UNIT OF MEASURE DESCRIPTION f UNIT PRICE EXTENSION
1.000 each Kena Log Grappler-Model#32788 $1,822.0000 $1,822.00
1.000 each Government Discount 10% $-182.2000 $-182.20
1.000 each Shipping $ 145.0000 $145.00
GLAccount#1125401-4238000
SCANNED
DEC -4 2011
Send Invoice To:
$1,784.80
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ( ACCOUNT [ PROJECT 1 PROJECT ACCOUNT AMOUNT
•
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED 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 `���
DOCUMENT CONTROL NO. 50590 VENDOR COPY i
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