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Cityof cai'rrie]1. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103174
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
10/23/2019 354872
KAHLO JEEP Street Department
VENDOR 9900 PLEASANT ST SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
NOBLESVILLE, IN 46060- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
40881
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-510.00
1 Each Auto Repairs $2,503.80 $2,503.80
Sub Total $2,503.80
Send Invoice To:
Street Department
3400 W. 131st Street9.
Carmel, IN 46074- u '
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,503.80
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 \c�
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /a ///./7l- i-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `.v
Dave Huffman
TITLE Director 4\1\
CONTROL NO. 103174 CLERK-TREASURER