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CarmelINDIANA RETAIL TAX EXEMPT Page 1 of 1
(, }� of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER�/Jl FEDERAL EXCISE TAX EXEMPT 103238
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
11/14/2019 371726 Vehicle lease
REGIONS EQUIPMENT FINANCE ICS
VENDOR PO BOX 11407 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
BIRMINGHAM,AL 35246-=1001 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41540
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 •Fund: 101 General Fund
Account: 44-650.01
1 Each Lease payments $9,018.00. $9,018.00
Sub Total $9,018.00
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Send Invoice To: � ,m. e "
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Timothy Renick ' ,„ ..,"
31 1st Avenue N.W. �`�
Carmel, IN 46032- . N w II$ h 0,
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $9,018.00
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 i�f _ C� C -..,0 \())
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY k
Timothy Renick James Crider
TITLE Director Administratio\
CONTROL NO. 103238 CLERK-TREASURER \�,