HomeMy WebLinkAbout103276 ECO-COUNTER CANADA/NORTH AMERICA INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIiirrriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103276
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
11/19/2019 371347 Counters at bike path intersections
ECO-COUNTER CANADA/NORTH AMERICA Dept of Community Service
VENDOR 604-3981 SAINT LAURENT BLVD SHIP 1 Civic Square
MONTREAL,QC, H2W1Y5.CANADA TO Carmel, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41718
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-509.00
1 Each Bike and Pedestrian Counters $3,220.00 $3,220.00
Sub Total $3,220.00
r E
r
"f 15 v 3 � I� � - -
E
3
Send Invoice To:
Dept of Community Service Start and end dates are for 12 months or 22 months.
1 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $3,220.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh
TITLE Director
CONTROL NO. 103276 CLERK-TREASURER