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City
of cair]riniel
CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103059
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/8/2019 373151
MAUCK WELDING Street Department
VENDOR 4756 W STATE RD 28 SHIP :3400 W. 131st Street
TO Carmel, IN 46074-
TIPTON, IN 46072- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
38743
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-509.00
1 Each Powder Coating $14,000.00 $14,000.00
Sub Total $14,000.00
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Send Invoice To:
Street Department ,
I
3400 W. 131st Street
Carmel, IN 46074- 's,, `�� y,� 3�
x
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $14,000.00
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 /7./_Q/__.._,. �� —f��- 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY " '7lI/ _
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 1 03059 CLERK-TREASURER