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V CarmelINDIANA RETAIL TAX EXEMPT Page 1 of 1
it of CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/ FEDERAL EXCISE TAX EXEMPT 103264
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
11/18/2019 360022 Surface Sentinel
THE HOOSIER CO INC Street Department
VENDOR P O.BOX 681064 SHIP .3400 W. 131st Street -
TO Carmel, IN 46074-
INDIANAPOLIS, IN 46268- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41669
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE. : EXTENSION
Department 2201 Fund:.2201: Motor Vehicle Highway.FND
Account 44-670.99
9 Each Mobile Surface Units $1,195.00. $10,755.00
Sub Total $10,755.00
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Send Invoice To: � :`�' 1
Street Department -,,
3400 W. 131st Street " x.
Carmel, IN 46074- :r
(317)733-2001 PLEASE IN��,��..,.w„.,..�..A��,��.
VOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $10,755.00
SHIPPING INSTRUCTIONS •ANP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 y" ���/ Q!u-cti •.�p 4„...
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `•✓ "``Yt1T
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 1 03264 CLERK-TREASURER