HomeMy WebLinkAbout101093 CARMEL CLAY SCHOOLS-FUEL PAYMENT v INDIANA RETAIL TAX EXEMPT Page 1 of 1
II �� of ciii �� �� PURCHASE__ MBE
CERTIFICATEFEDERAL EXCISE TAX EXEMPT
O PURCHA�SEoOROD��UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MU'IST APP''EAR 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
12/13/2017 042595
CARMEL CLAY SCHOOLS-FUEL PAYMENT Dept of Community Service
VENDOR EDUCATION SERVICE CENTER SHIPTO 1:Civic;Square
..."
5201 E MAIN ST
Carmel, IN 46032-
CARMEL,IN:46033-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21676
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 104 General Fund
Account: 42-314.00
1 Each Fuel $4,500.0.0 $4,500.00
Sub Total $4,500.00
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Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN .46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT S AMOUNT
PAYMENT $4,500.00
SHIPPING INSTRUCTIONS ' VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PARA/PT 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
ORDERED BY
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Mike Hollibaugh �
TITLE Director �;`
CONTROL NO. 101093 CLERK TREASURER �` \