HomeMy WebLinkAbout57610 MID STATE TRUCK EQUIPMENT INC INDIANA RETAIL TAX EXEMPT PAGE 1
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yar Ili 1 o CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 57610
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 4E0 32_2 84 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
1/30/2023 01/30/23 30430 201250 Snow Plow Repair Parts for PNR
Mid State Truck Equipment Inc. Parks Maintenance
11020 Allisonville Rd 1427 E. 116th Street
VENDOR Fishers, IN 46038 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4.000 each HYD07042 Hose, 3/8x42 1/4mpx3/8mp $ 34.310 $ 137.24
4.000 each HYD01695 HOSE,1/4'x15-1/2',1/4'MPx1/4MP $ 18.170 $ 72.68
2.000 each HYD09922 HOSE , 1/4'x18', 3/8'MOR x 1/4'MP $27.230 $ 54.46
1.000 each HYD01633 POWER UNIT SOLENOID KIT-BARNES $43.610 $43.61
4.000 each HYD01835 BOSS SNOWPLOW OIL $ 11.430 $45.72
4.000 each MSC05674 PIN KIT,LIFT CYLINDER CLEVIS $ 9.900 $ 39.60
2.000 each HYD07575 HOSE,3/8'x40',1/4'MPx3/8'MOR $ 38.140 $ 76.28
2.000 each MSC05058 HANDHELD, SWIVEL MOUNT KIT $ 6.140 $ 12.28
GLAccount# 1125401-4237000
Send Invoice To:
$481.87
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 AND SUPPLEMENT THERETO. TITLE Park Maintenance Foreman
CONTROLLER
DOCUMENT CONTROL NO. 57610 V E N DOR COIPY