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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104543
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
Impact Wrench
12/1/202000351578
NORTHERN TOOL & EQUIPMENT Street Department
VENDORPO BOX 105525 SHIP 3400 W. 131st Street
TO
Carmel, IN 46074-
ATLANTA, GA 30348--5525Terry Killen(317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
51807
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
22012201Motor Vehicle Highway FND
Account:
42-380.00
1EachImpact Wrench$1,306.10$1,306.10
Sub Total$1,306.10
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317) 733-2001
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$1,306.10
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ORDERED BY
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Terry Killen
TITLECommissioner
104543
'10531.01#
CLERK-TREASURER