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o f C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMB ED eAAPPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, E Y MEMO, PACKING SLIPS,
1^ SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASEfORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
912712019 s
VENDOR Mid-State Truck Equipment TOIP Street Department
3400 W. 131st Street
11020 Aflisonville Road Carmel, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
r-ISners, IN 4 b038 7) 733-2:01
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
r P
Account 0042389.00
1 Each plow $3,780.00 $3,780.00
7; Sub Total $3,7
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Send Invoice To:
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Street Department
3400 W. 131st Street PLEASE INVO IN DUPLICATE
DEPARTnceeleI, IN 60074 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICEi D780 00
Carmel Street Department 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: y
C.O.D.`SHIPMENTS CANNOT BE ACCEPTED. 0,6,1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY x
T HIS NG LABELS. y'/J h
THIS ORDER DER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ,�,I", (.1 ,1 "•/1'l. it
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. U
CLERK- TREASURER
DOCUMENT CONTROL NO 2 O OFFICE COPY