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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104510
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Quote #1
11/19/202000352135
SIGNAL CONSTRUCTION INC Street Department
VENDOR5639 WEST US 40 SHIP 3400 W. 131st Street
TO
Carmel, IN 46074-
GREENFIELD, IN 46140 - Terry Killen(317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
51599
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
22012201Motor Vehicle Highway FND
Account:
43-500.60
1EachRepairs / Maintenance$19,500.00$19,500.00
Sub Total$19,500.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317) 733-2001
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$19,500.00
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ORDERED BY
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Terry Killen
TITLECommissioner
104510
'10531.01#
CLERK-TREASURER