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INDIANA RETAIL TAX EXEMPT Page 1 of 1
C ®f Carmel CERTIFICATE NO.003120155 002 0 i URCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 102959
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
6/19/2019 00352870
3 M Street Department I
1
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
37264
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-364.00
1 Each Traffic Paint ; $7,9201111.00 $7,920.00
Sub TotaI $7,920.00
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Street Department
3400 W. 131st Street LLB,,
Carmel, IN 46074- ' „. ,{
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT i $7,920.00
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 (�c _4.-0AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYOed-t---- ... /44-'-" L
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 1 02959 CLERK-TREASURER