106982 THE HOOSIER CO INC - REVISED
Page 1 of 1
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
City of Carmel
FEDERAL EXCISE TAX EXEMPT
106982
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
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
11/15/2022360022
THE HOOSIER CO INC Street Department
VENDORSHIP
P O BOX 681064 3400 W. 131st Street
TO
Carmel, IN 46074-
INDIANAPOLIS, IN 46268 - Matt Higginbotham(317) 733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
70644
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
22012201Motor Vehicle Highway FND
Account:
44-670.99
1EachVorteq TMA w/15 light pulsar AB 6 intermittent strobes$21,036.04$21,036.04
Sub Total
$21,036.04
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317) 733-2001
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$21,036.04
PAYMENT
* A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Lee HigginbothamJames Crider
TITLECommissionerDirector of Administration
CONTROL NO.
106982
CONTROLLER