HomeMy WebLinkAbout53600 AMERICAN EAGLE EQUIPMENT INDIANA RETAIL TAX EXEMPT !PAGE 1
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CERTIFICATE NO.003120155 002 0
IOf r � "' PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
53600
35-60000972
ONE CF/IC SQUARE
CARMEL,!FIOIANi•4E032-2ES= THIS NUMBER MUST APPEAR ON INVOICES.A/P
VOUCHER,DELIVERY MEMO.PACKING SUPS,
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
9/27/2019 10/01/19 21541 368839 Light Equipment for Fleet Vehicle#1194(2019 Ford Ranger)
American Eagle Equipment Parks Maintenance
16100 Allisonville Road 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 SOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
2.000 each Item#MCRNSC-Surface Mount Micron White Black $80.000 $ 160.00
2.000 each Item#VTX609C-Vertex Super-Led White $75.000 $ 150.00
3.500 each Install Labor $90.000 $315.00
1.000 each Shop Supplies $ 10.000 $10.00
GLAccount#1125401-4351000
Send Invoice To:
$635.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER `�
DOCUMENT CONTROL NO. 53600 VENDOR COPY \
