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of C' rCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 51285
35-60000972
014E WIC SQUARE
CARMEL,3101AllA4SS032-2514 THIS NUMBER MUST APPEAR ON INVOICES,AR
VOUCHER,DELIVERY MEMO,PACKING SLIPS,"
SHIPPING LABELS AND ANY CORRESPONDENCE.
N APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/7/2018 05/05/18 16147 368839 Equipment installation for fleet Chevrolet 2500#3183
American Eagle Equipment Parks Maintenance
16100 Allisonville Road 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Whelen century mini 16"magnetic amber/white $260.0000 $260.00
1.000 each Labor for installation of light bar $90.0000 $90.00
1.000 each shop supplies $20.0000 $20.00
GLAccount#1125401-4351000
•
Send Invoice To:
$370.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
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.
D SHIPMENTS CANNOT BE ACCEPTED.
1CHASE 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 /I14\"2A
CLERK-TREASURER
DOCUMENT CONTROL NO. 51285 VENDOR COPY