HomeMy WebLinkAbout102264 HOOSIER PORTABLE RESTROMMS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciit ®f Iar]rrIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102264
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
12/7/2018 354857 3 STALL TRAILER 1/12/19,1/13/19,AND 2/23/19 FOR ICE AT
CENTER GREEN
HOOSIER PORTABLE RESTROOMS INC Community Relations
VENDOR 2201 E 99TH ST SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46280-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31777
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each 3 STALL TRAILER 1/12/19, 1/13/19,AND 2/23/19 FOR ICE AT $2,400.00 $2,400.00
CENTER GREEN
Sub Total $2,400.00
Send Invoice To:
Community Relations
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $2,400.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
`PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /t, i \0 ,114\\,7$
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck
TITLE Director
CONTROL NO. 102264 CLERK-TREASURER