HomeMy WebLinkAbout101016 E & B PAVING INC INDIANA RETAIL TAX EXEMPT Page 1 of 1Cityof Iarirnie1 - E
CERTIFICATEFEDERAL EXCISE TAX EXEMPT O PURCHA1S®ORODEIR�UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
12/5/2017 T0002120 2017 Resurfacing
E&B PAVING INC Street Department
VENDOR 12600 STATE ROAD 38 E SHIP 3400 W. 131st Street
TO. Carmel, IN.46074-
NOBLESVILLE, IN 46060 (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21247
QUANTITY, UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-502.00
1 Each 2017 Resurfacing $215,000.00. $215,000.00
Sub Total $215,000.00
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Send Invoice To:
Street Department
3400 W. 131st Street.
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $215,000.00
SHIPPING INSTRUCTIONS 'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 �1 / C c.—V�� j
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY 1J (\
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 101016 CLERK-TREASURER