HomeMy WebLinkAbout50637 UNITED FIDELITY VISA City
Carmel NO.03120155 002 0 PAGEURCHASE ORDER NUMBER �.M
INDIANA RETAIL
CERTIFICATE „..�.,. .�
FEDERAL EXCISE TAX EXEMPT 50637
35.60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-25$4 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 I DATE REQUIRED REQUISITION NO. r VENDOR NO DESCRIPTION
12/12/2017 12/16/17 14723 371208 .tires for kubota rtv-x1100
I
OTR Wheel Engineeing, Inc Parks Maintenance
PAID THROUGH UFB-VISA SHIP 1427 E. 116th Street ATTN:Courtney
VENDORTO Carmel, IN 46032
CONFIRMATION I BLANKET CONTRACT I PAYMENT TERMS FREIGHT
*
QUANTITY UNIT OF MEASURE DESCRIPTION : .UNIT PRICE 1 . EXXTENSION_.
5.000 each OTR super mag 350 with Liner 25x10-12 $ 153.0000 $765.00
1125 - 401 - 436i000
Send Invoice To:
$765.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT is ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT.
• AlP 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. 50637 VENDOR COPY