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HomeMy WebLinkAbout101177 REGIONS EQUIPMENT FINANCE itCy o f �r-e�ir e1 INDIANA RETAIL TAX EXEMPT Page 1 of 1 IIt`�lJ CFEDERAL EXCISE TAX EXEMPTERTIFICATE NO.003120155 002 PURCHASE PURCHAtSEoORDI ��UMBER ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AlP '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 12/15/2017 371726 t\\(31p ,� REGIONS EQUIPMENT FINANCE General Administration `may VENDOR PO BOX 2545 SHIP 1 Civic Square \�' TO Carmel, IN 46032- BIRMINGHAM,AL 35202-2545 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 21862 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1205 Fund: 101 General Fund Account: Each Sub Total Account: 44-630.00 1 Each Furniture and Fixtures $41,463.25 $41,463.25 Sub Total $41,463.25 :If craned 11150 .Q3 „". c+.t L tri rcy�ay4a z.,,‘">,.- ...,Y,�{'+ / t, ..At \\.\ \\\ jft I 13C 1 A C \;, .\ i 40' 7,,,',4''':N;.4.71: .; ''' i 0::1477;1 _ +S �}A 4 p. Send Invoice To: C s'-t ` i 4 y :.t,, ,,.,_% it Dept of Administration ". \ fi--• / / 'a �''� / 1 Civic Square 4 { 7:1-'7:-'','' Carmel, IN 46032- 1''''--,..,1::.c. li P1 `r ,© PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $41,463.25 SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 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 LABE /J 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 .s+.4p(: AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY v James Crider James Crider TITLE Administration Administration CONTROL NO. 101177 CLERK-TREASURER