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ciCityof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER �(�
FEDERAL EXCISE TAX EXEMPT 102800 �.
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
4/15/2019 T0002832
AAA MUDJACKERS Carmel Police Department
VENDOR 979 E 236TH ST SHIP 3 Civic Square
TO Carmel, IN 46032-
SHERIDAN, IN 46069- Blaine Mallaber '
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
35412
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110. Fund: 101 General Fund
Account: 43-501.00
1 Each lift and stabilize sidewalk $450.00 $450.00
Sub Total $450.00
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Send Invoice To: "� 4 y �. 4A% . :.3. .`- 0! , " ;'
Carmel Police Department d r
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Accounts Payable \, .. '' dr
3 Civic Square *N,. er —'--- ---- -
Carmel, IN 46032- "",- & 1 ,'`, . . . .
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $450.00
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 LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
ANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 1 02800 CLERK-TREASURER