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0 r Carmel!. arm CERTIFICATE NO. 003120155 002 0
.r y w PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 27391
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 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
10120/2011
i.
Cargill, Inc. SHIP Street Department
VENDOR
TO 3400 W. 131st Street
P. 640283 1 �f I C IN 46074
CONFIRMATION BLANKET 'IMPW9n, NA 1 D4b44J4*3 PAYMENT TERMS Iv 33- 2081FREIGHT
OUANTITYI UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
Account 0042465.00
2748 Each salt $72.77 $199,971.96
Sub Total:.' $199,971.96
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Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 'AMOUNT
PAYMENT
Carmel Street Department AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS TH9,971 .96
NUMBER IS MADE A P. OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE "OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY,4 H IS4N UNOBLIGATED BALANCE IN
THIS APPROP P NT TO PAY FOR THE ABOVE ORDER.
C.O.D.
SHIP REPAID.
SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY or
PURCHASE,ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 71." t A/_
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE ,.16 R
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 27391 OFFICE COPY