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II Y r' Carmel INDIANA RETAIL TAX EXEMPT
1 1/ 1 of I'�/ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 22
m ONE CIVIC SQUARE THIS NUMBER MusT APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER„ DELIVERY MEMO. PACKING SLIPS.
a FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY coRRESaoNDENCE
104 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
•i
1113U/2011
'MacAllister Machinery Co. Inc. f SHIP Street Department
VENDOR j
TO 3400 W. 131st Street i
i
i P.C. ry 660200 Carmel, IN 46074
CONFIRMATION BLANKETIh'CDNTRACT iI$ I 4btbb -ULUU PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE I DESCRIPTION UNIT PRICE E %TENSION
Account 0042 370.00
1 Each repair parts $4,257.85 54,257.85
Sub7otal: $4,257.85
s 11
P
Send Invoice To: ram 1 a 0
Street Department
tt 3400 W. 131st Street II
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
4.P
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A p Carmel Street Department A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P
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.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 7 ORDERED BY .4,I1_ A 0 9
P URCHASE ORDER NUMBER MUST APPEAR ON ALL .J
SHIPPING U.. 0
O
THIS ORDER ER ISSUED INCOMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
l C LERK TREASURER
DOCUMENT CONTROL NO. 274-00 OFFICE COPY