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Cisof arme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103142
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
10/3/2019 154252 welder/Parts
INDIANA OXYGEN CO Street Department
VENDOR PO BOX 78588 SHIP 3400 W. 131st Street
TO Carmel; IN 46074-
INDIANAPOLIS, IN 46278- - (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
40277
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-370.00
1 Each Welder/Parts $1,997.83 $1,997.83
Sub Total $1,997.83
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Send Invoice To: " .".A, ..
Street Department
3400 W. 131st Street 'fir. e
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Carmel, IN 46074- ,,.' , , ,,, A "��""
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,997.83
SHIPPING INSTRUCTIONS *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
'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 /) //� _Q!�,s,�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ''✓ 7/!!1
Dave Huffman
TITLE Director
CONTROL NO. 103142 CLERK-TREASURER