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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103468
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
12/11/2019 354857 RESTROOMS FOR ICE AT CENTER GREEN EVENTS
HOOSIER PORTABLE RESTROOMS INC Community Relations
VENDOR 2201 E 99TH ST SHIP 1 Civic Square
TO
Carmel, IN 46032-
INDIANAPOLIS, IN 46280-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42554
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION _.
Department: 1203 Fund: 101 General Fund
Account: 43-590.03 •
1 Each RESTROOMS FOR ICE AT CENTER GREEN EVENTS $12,600.00 $12,600.00
Sub Total $12,600.00
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Send Invoice To:
Community Relations
1 Civic Square :" ,
Carmel, IN 46032- n .
.aH
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $12,600.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck James Crider
TITLE Director Administration
CONTROL NO. 1 03468 CLERK-TREASURER