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HomeMy WebLinkAbout102697 ECO-COUNTER CANADA/NORTH AMERICA c1i .vJL carr]n1e1INDIANA RETAIL TAX EXEMPT Page 1 of 1 }� o f CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102697 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A!P 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 3/4/2019 371347 Battery pack ECO-COUNTER CANADA/NORTH AMERICA Dept of Community Service VENDOR 604-3981 SAINT LAURENT BLVD SHIP 1 Civic Square MONTREAL,QC, H2W1Y5 CANADA TO Carmel, IN 46032- • PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 34310 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1192 Fund: 101 General Fund Account: 44-670.99 1 Each Bike Equipment $220.00 $220.00 Sub Total $220.00 SCANNED w .... z , MAR - 5 2019 / ,. ` P F r( }3 i t d {# 5 g a }.9 Send Invoice To: _ � Dept of Community Service - 1 Civic Square Carmel, IN 46032- Vim, , e'l,e PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT PAYMENT $220.00 SHIPPING INSTRUCTIONS 'AIP 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 79f -4' - �^ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Mike Hollibaugh TITLE Director CONTROL NO. 102697 CLERK-TREASURER