HomeMy WebLinkAbout53591 MID STATE TRUCK EQUIPMENT INDIANA RETAIL TAX EXEMPT PAGE 1
- - PURCHASE ORDER NUMBER
city CERTIFICATE NO.003120155 002 0C X FEDERAL EXCISE TAX EXEMPT 53591
35-60000972
ONE CP:tic SQUARE
CARMEL, THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
9/23/2019 09/21/19 21450 201250 Equipment for Fleet Vehicles#3192౹
Mid State Truck Equipment Inc. Parks Maintenance
11020 Allisonville Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Fishers, IN 46038 TOIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
2.000 each Item#127-0-02-Weather Guard Aluminum Saddle Box $755.000 $ 1,510.00
1.000 each Item#Boss82v-Boss 8'2"Power V-XT Plow Pkg w/SH2 $5,761.000 $5,761.00
Electric Attachement&SL3 Led Lighting
1.000 each Item#MSC10182b-Boss 8.2 Steel V-XT Blade Crate $0.000 $0.00
1.000 each Item#MSC15005C-V-XT Plow Box $0.000 $0.00
2.000 each Item#LTA10200-Boss RT3 Ford Super Duty Undercarriage $ 1.000 $2.00
2.000 each Item#MSC15100-V-Plow Control Kit Smartouch2 Controller $ 1.000 $2.00
2.000 each Item#MSC10230-Light Adapter 2017+ Ford Halogen, 13 Pin $ 1.000 $2.00
2.000 each Item#G2-60-134 -Tommy Gate Pickup Liftgate, Dual $2,920.000 $5,840.00
Cylinders 13001b Lift Capacity; 55"x38"Extruded Aluminum
Platform includes T-285 Bracket, Rear Camera Relocation Kit
1.000 each Item#Parts1 -Bully Cab Steps AS-600 Aluminum,350Ib $70.000 $70.00
Capacity, Front doors Only
1.000 each Item#Parts1 -Bully Side Steps(#AS-600) $70.000 $70.00
1.000 each Labor to Install Toolbox,Truck Steps, Boss Plow, and Liftgate $2,400.000 $2,400.00
GLAccount#1125401-4351000
Send Invoice To:
$ 15,657.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I 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 AND SUPPLEMENT THERETO. TITLE V�
CLERK-TREASURER U�
DOCUMENT CONTROL NO. 53591 VENDOR COPY T\f_W—