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1 1 11 1 1 11 1 I1� 1 1 CERTIFICATE NO. 0031207 55 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST. [AEI ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVE E 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
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12/2012011
VENDOR Cargill, Inc. SHIP Street Department
TO
3400 W. 131st Street
P.O. Box 415992 Carmel, IN 46074
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CONFIRMATION BLANKET ra MA 02241927 PAYMENT TERMS (M 7) 7•;7- 2r76gEIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION t UNIT PRICE EXTENSION
Account 0042-365.00
1 Each salt $7,100.00 $7,100.00
l Sub Total::. $7,100.00
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Send Invoi To: O UV
Street Department
i- 3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE'IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT,ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
Carmel Street Department NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND $7,100.00
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI THAT THERE IS AN UNOBLIGATED BALANCE IN
THISAPPROPRI •••N IFFICIENT TO PAY FOR EcABOVE ORDER.
SHIP REPAID. l�
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY i e
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
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SHIPPING LABELS. ,.4 J r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 CLERK TREASURER
DOCUMENT CONTROL NO. 26261 OFFICE COPY