HomeMy WebLinkAbout54004 CARMEL WELDING INDIANA RETAIL TAX EXEMPT PAGE 1
w CERTIFICATE NO.003120155 002 0
City
of
i r 9 i } N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT 54004
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1/15/2020 12/17/19 22165 051000 Small Engine Supplies
Carmel Welding Parks Maintenance
550 S Rangeline Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each sti4237-120-1800 filter HSB1T $4.130 $4.13
2.000 each ST14149-120-1800 AIR FILTER HL94K $ 3.490 $ 6.98
6.000 each ST14180-120-1800 HL-100-KZ/FS9OR/HT101 $4.110 $24.66
3.000 each ST14180-141-0300 AIR FILTER FS131R/HT133 $ 5.140 $ 15.42
2.000 each ST14147-141-0300 FILTER FS460 $ 11.540 $23.08
3.000 each ST14282-141-0300 FILTER BR600 $ 10.300 $ 30.90
1.000 each ST14314-124-2800 FILTER BT45 $ 3.490 $ 3.49
1.000 each ST11145-140-4401 FILTER MS201C $ 19.010 $ 19.01
2.000 each ST11127-120-1621 FILTER MS290 $ 17.990 $ 35.98
3.000 each ST14241-120-1800 FILTER BG86 $4.490 $ 13.47
2.000 each ST11141-140-4400 FILTERHD MS261 $25.760 $ 51.52
21.000 each STI0000-400-7011 SPARK PLUG CMR6H $ 6.760 $ 141.96
4.000 each STI0000-400-7000 SPARK PLUG BPMR7A $ 5.710 $22.84
10.000 each STI0000-999-5246 SPARK PLUG CMR4H $4.190 $41.90
1.000 each ST10781-313-8004 FULL SYNTHETIC 2.60Z $ 104.990 $ 104.99
Send Invoice To:
$ 749.18
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54004 VIE 1NID 0 IR CO Y
INDIANA RETAIL TAX EXEMPT PAGE 2
CERTIFICATE NO.003120155 002 0
city of ,11„'n narl,!' }i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT 54004
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1/15/2020 12/17/19 22165 051000 Small Engine Supplies
Carmel Welding Parks Maintenance
550 S Rangeline Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
4.000 each ST10000-350-3503 PICK UP BODY $ 5.490 $21.96
3.000 each ST10000-350-3500 PICK UP BODY $ 5.490 $ 16.47
3.000 each ST10000-350-3502 PICK UP BODY $ 5.490 $ 16.47
2.000 each ST14282-007-3600 SET OF PICKUP BODIES $ 10.820 $21.64
GLAccount# 1125401-4238900 = $616.87
2.000 each ST10000-350-5807 TANK VENT $ 5.660 $ 11.32
2.000 each ST14119-141-8600 IMPULSE LINE HT101 $ 1.490 $2.98
4.000 each 5T14226-121-2700 CAP $4.110 $ 16.44
2.000 each ST14282-120-0611 CARBURETOR BR600 $40.710 $ 81.42
1.000 each ST10000-937-5004 VITON HOSE $20.150 $20.15
GLAccount# 1125402-4237000 = $ 132.31
Send Invoice To: TOTAL OF TWO GL ACCOUNTS
$ 749.18
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54004 VIE 1NID 0 IR CO Y