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HomeMy WebLinkAbout102869 INDIANA TRAFFICE SERVICES INDIANA RETAIL TAX EXEMPT Page 1 of 1 Cityof CurI ' ]1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102869 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 CORRESPONDENC Q FORM APPROVED BY STATE BOARD OF CCOI TS FOR CITY OF CARMEL-1997 \ PURCHASE ORDER DATE DATE REQUIRED SITION NO. VENDOR NO. DESCRIPTION 5/8/2019 369539 Contracted Striping 0 ic? INDIANA TRAFFIC SERVICES Street Department VENDOR 3867 N.COMMERCIAL PARKWAY SHIP 3400 W.131st Street TO Carmel,IN 46074- GREENFIELD,IN 46140- (317)733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 36099 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2201 Fund: 2201 Motor Vehicle Highway FND Account: 43-503.00 1 Each Street Striping $37,748.90 $37,748.90 Sub Total $37,748.90 4 III'4 $ 4 4 4 ..w .E Send Invoice To: Street Department 3400 W.131st Street Carmel,IN 46074- (317)733-2001 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT PAYMENT $37,748.90 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 1 02869 CLERK-TREASURER