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HomeMy WebLinkAbout102952 3 M o INDIANA RETAIL TAX EXEMPT Page 1 of 1 IIitCity ®f CIaririnie1 CERTIFICATE NO.003120155 002 0 PIURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT I 102952 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR 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 6/17/2019 00352870 1 3 M Street Department VENDOR 2807 PAYSPHERE CIRCLE SHIP 3400 W. 131st Street TO Carmel, IN 46074- CHICAGO, IL 60674- (317)733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 37158 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2201 Fund: 2201 Motor Vehicle Highway FND Account: 42-364.00 1 Each Traffic Paint i $3,844.17 $3,844.17 Sub Total $3,844.17 1 /' n 4 � 1 ,gam -4 ^i x 0 Send Invoice To: ,,` a_,._ , `r. _M.Y ' ' Street Department �' ,'c* , 3400 W. 131st Street Carmel,IN 46074- °-� i (317)733-2001 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 9 PROJECT ACCOUNT AMOUNT PAYMENT $3,844.17 *ASP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A SHIPPING INSTRUCTIONS 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 TUE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 a t //3,(,.--•-.e ms.:.-L AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY v Dave Huffman TITLE Director CONTROL NO. 102952 CLERK-TREASURER