HomeMy WebLinkAbout52155 MID STATE TRUCK EQUIPMENT ! INDIANA RETAIL TAX EEMPT I PAGE 1
ICERTIFICATE NO.003120155 002 0 PURCHAS...._-E ORDER NUMBER
City of armel FEDERAL EXCISE TAX EXEMPT 1'52155
i35.60000972
1
IONE'CMC SflUARE . ( THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,IFJDIANA46032 2EB4 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE.
1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 _.__
PURCHASE ORDER DATE; DATE REQUIRED I REQUISITION NO. VENDOR NO. 1 DESCRIPTION
1/2/2019 111/21/18 • 318190 201250 [POIY snow plow cutting edges for kubota utv plow
Mid State Truck Equipment Inc. Parks Maintenance
11020 Allisonville Rd 1427 E. 116th Street ATTN:Courtney
VENDOR Fishers,IN 46038 SHIP Carmel,IN 46032
TO
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY j UNIT OF MEASURE' DESCRIPTION UNIT PRICE C EXTENSION
1.000 each BALI3104 cutting edge kit, DR,Poly,6'6"v rt3 $ 170.0000 $ 170.00
1.000 each BAR1 3204 cutting edge kit,poly,PS 6'6"v rt3 $ 170.0000 $170.00
GLAccount#1125401-4232100
Send Invoice To:
$340.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT L PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
• A!P 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.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE 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 ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52155 VENDOR COPY f1