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HomeMy WebLinkAbout52628 CARGILL INC (MODIFIED) INDIANA RETAIL TAX EXEMPT PAGE 1 CERTIFICATE NO.003120155 002 0 City CarmelPURCHASE ORDER NUMBER • FEDERAL EXCISE TAX EXEMPT 5262$ 35-60000972 ONE CIVIC SQUARE. CARMEL,INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 scg PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 0.4/4/2019 04/09/19 19352 Chan e:Winter'18-'19 salt order \\N "- 00351986 g S � Cargill Incorporated Parks Maintenance \ P.O. Box 98220 1427 E. 116th Street ATTN: Courtney VENDOR Chicago, IL 60693-8220 THOIP Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYM ENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 22.000 ton Clearlane Salt $86.3400 $1,899.48 1.290 ton Ton Overage $86.3400 $11w . GLAccount#1125401-4236500 Send Invoice To: $2,010.86 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 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 Dawn Koepper • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE CLERK-TREASURER DOCUMENT CONTROL NO. 52628 VENDOR COPY