HomeMy WebLinkAbout101086 CARMEL CLAY SCHOOLS-FUEL PAYMENT it37
INDIANA RETAIL TAX EXEMPT Page 1 of 1Cof Iarinr.iie1
CERTIFICATEFEDERAL EXCISE TAX EXEMPT PURCHASE PURCHASE ORDDEQRN UMBER
1010ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 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 DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/13/2017 042595
CARMEL CLAY SCHOOLS-FUEL PAYMENT Street Department
VENDOR EDUCATION SERVICE CENTER SHIP.: 3400 W.131st Street
5201 E MAIN ST TO
Carmel, IN 46074
CARMEL,IN 46033'- (317•);733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21669
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE: EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-311.00 .
1 Each LP Gas $1,900.00 $1,900.00
Sub Total $1,900.00
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Send Invoice To:
Street Department
3400 W. 131st Street ''u
Carmel,IN 46074- '
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT Y AMOUNT
PAYMENT $1,900.00
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 n �f Q/ /�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �cf,�, ///"""7111 a-f-t.. 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY / �/ \
Dave Huffman \�\`
TITLE Director
CONTROL NO. 101086 CLERK-TREASURER \�