HomeMy WebLinkAbout103042 KAFKA GRANITE City (j� fINDIANA RETAIL TAX EXEMPT Page 1 of 1
o (( CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
of \I1airinriie1 FEDERAL EXCISE TAX EXEMPT 103042
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
7/30/2019 367841
KAFKA GRANITE LLC Street Department
VENDOR 550 E HIGHWAY 153 SHIP :3400 W. 131stStreet
TO Carmel, IN 46074-
MOSINEE,WI 54455- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
38393
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-360.00
1 Each Granite Pathway Mix $14,352.00 $14,352.00
Sub Total •$14,352.00
SCANNED;
2 201
Ix
Send Invoice To:
Street Department _
3400 W. 131st Street. ',- t'
Carmel, IN 46074- `
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT V ACCOUNT A PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $14,352.00
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 LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 42-,-- ///4/ i. C c-c.---"
-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `•✓ ""'1111f t
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 1 03042 CLERK-TREASURER