HomeMy WebLinkAbout103123 SHAMBAUGH & SON LP IIity INDIANA RETAIL TAX EXEMPT Page 1 of 1
of Carme1 CERTIFICATENO.0031201550020PURCHASE ORDERNUMBER
FEDERAL EXCISE TAX EXEMPT 103123
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
9/19/2019 373576
SHAMBAUGH&SON LP General Administration
VENDOR PO BOX 1287 SHIP 1 Civic Square
TO Carmel,IN 46032-
FORT WAYNE, IN .46801 -
PURCHASEID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39837
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund:
$9,310.00,
101 General Fund
Account: 43-509.00
1 Each Other Contracted Services $9,310.00
Sub Total $9,310.00
3
,.
Send Invoice To: x
Dept of Administration
1 Civic Square ki d „ k,,' dm
Carmel, IN 46032- '3 { <' a-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $9,310.00
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 �/�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY '-/�\
James Crider James Crider
TITLE Administration Administration
CONTROL NO. 'I 03123 CLERK-TREASURER `�>