HomeMy WebLinkAbout101083 MARK IV ENVIRONMENTAL SYSTEMS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CATE NO.00312015
City ot Carm
CFEDE AL EXCISE TAX EXEMPTO PURCHA�S®ORODE�R�UMBER
ONE CMC SQUARE 35-6000972 THIS NU1MBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VH ,DVEY O, NG ,
SOUCHIPPINGERi_AD LS ANDRMEMANY CORREPACKISPONDENSLIPSCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/13/2017 354602 Ice Machine For Break Room
MARK IV ENVIRONMENTAL SYSTEMS INC Street Department
VENDOR 1012 N BLUFF ROAD SHIP 3400 W.131st Street
SUITE A TO Carmel, IN 46074_ ..
GREENWOOD,'IN 46142- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21660
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 44-670.99
1 Each Ice Machine $3,070.79. $3,070.79
Sub Total $3,070.79
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Send Invoice To:
Street Department
-
3400 W. 131st Street
Carmel, IN 46074=
(317)733-2001 PLEASE INVOICED IN DUPLICATE
DEPARTMENT i ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,070.79
SHIPPING INSTRUCTIONS *NPAVOUCHER 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
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
/ ,�•�
ORDERED BY �j�� ,"°
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I.)
Dave HuffmDirectoran
TITLE
CONTROL NO. 101083 CLERK-TREASURER Iv/�w