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1 Cis of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
1 :FEDERAL EXCISE TAX EXEMPT
;r 35- 60000972 27387
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF C ARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6131 /2011
VENDOR. AMK Services LLC
SHIP
Street Department
TO 3400 W. 131st Street
Carmel, IN 46074
,j 9291 Crouse Willison Road i399) 733o2001
CONFIRMATION' BLANKE _CONIF3AGT OH 4 3031
1611 PAYMENT TERMS 1 FREIGHT p
LL77SS ��3lii :r
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043 505.00
:I $40.00 $240.00
6 Each LPE 110v Desktop Charger $35.50 $426.00
12 Each LPE 50/200 Battery
Sub Total:
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4 v
s ti
s a 1
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Send Invoice To t
Street Department
34001 N. 1 Street
Carrn l 1 4gn74-
PLEASE INVOICEIN DUPLICAT
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 'AMOUNT
PAYMENT $666.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
Carmel Street Department t NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS{ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. n q f C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �(,IVI kticel i 1! yi--
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
e. SHIPPING LABELS. r J\ V v-n n
THIS. ORDER' ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t I i Are_ K a A_ui_ 0 -1--
AND ACTS AM THEREOF AND SUPPLEMENT THERETO.
1
CLERK TREASURER
DOCUMENT CONTROL NO OFFICE COPY