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�/(1 }� of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103300
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AN
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/26/2019 371726 ROCS Vehicle Leases
REGIONS EQUIPMENT FINANCE Dept of Community Service
VENDOR PO BOX 11407 SHIP 1 Civic Square
TO Carmel,IN 46032-
BIRMINGHAM,AL 35246--1001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41926
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-650.01
1 Each Vehicle Lease $29,046.44 $29,046.44
Sub Total $29,046.44
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4' 1 qS F i I$ j
Send Invoice To:
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Dept of Community.Service
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1 Civic Square N, t `: c lam,.;..
Carmel, IN .46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $29,046.44
SHIPPING INSTRUCTIONS •AR 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 /�7 /� �?
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ! ��� - �� +—�� ri �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider (\
TITLE Director Administration
CONTROL NO. 1 03300 CLERK-TREASURER ��