HomeMy WebLinkAbout103379 CARMEL CLAY SCHOOLS-FUEL PAYMENT City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103379
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
12/612019 042595 2020 fuel for 17 DOCS vehicles
CARMEL CLAY SCHOOLS-FUEL PAYMENT Dept of Community Service
VENDOR EDUCATION SERVICE CENTER SHIP . 1 Civic Square.
5201 E MAIN ST TO Carmel, IN 46032-
CARMEL, IN 46033-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42256
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 42-314.00
1 Each Fuel $6,235.32 $6,235.32
Sub Total $6,235.32 -
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Send Invoice To: <_
Dept of Community.Service
1 Civic Square
Carmel,IN 46032- .., ' „,-- .,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $6,235.32
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 !/7'.� S''" ig."-49
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider
TITLE Director Administration
CONTROL NO. 103379 CLERK-TREASURER