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INDIANA RETAIL TAX EXEMPT Page 1 of 1
o-f Carmel CERTIFICATE NO.003120155 002 0 CHASE 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 CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/8/2019 369539 Contracted Striping
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 $100,000.00 $100,000.00
Sub Total $100,000.00
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Send Invoice To: 8
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Street Department
3400 W. 131st Street .,Afil. AtAfik,- ,,
Carmel, IN 46074- ',
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT [ ACCOUNT I PROJECT f PROJECT ACCOUNT AMOUNT
PAYMENT $100,000.00
SHIPPING INSTRUCTIONS '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
'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 0.-c----.... /41/1--"‘* 1 (ram-` p�'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 ��AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 1 02869 CLERK-TREASURER