HomeMy WebLinkAbout26260 City of Carmel TAX EXEMPT
City, i It y f Carmel CERINDIANA
TIFICATE NOLO 31 0155 002 0 PARE
w y Y PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE 1 THIS NUMBER MUST APPEAR ON INVOICES, AP
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVER/NM PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL ,1997,
PURCHASE ORDER DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
a
1212012011
VENDOR SHIP
City of Carmel Street Department TO Street Department
3400 W. 131st Street
3400W 131St St Carmel, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Westfield, IN 46074 (d1 /j /3d -'LUU1
QUANTITY UNIT OF MEASURE! DESCRIPTION UNIT PRICE EXTENSION
Account 0041- 120.03
1 Each encumbered overtime $200,000.00 $200,000.0(
fit Af saps
Sub Total:. $200,000.OI
I 47 04
t i aN a T c\T S
Send Invoice To: J e-Irl U
1100,000. 00
Street Department
3400 W. 131st Street PLEASE INVOICE IN DUPLICATE
DEPARTMENT (.armeli 46 U COUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
Carmel Street Department VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. $203,000.0C
4 SHIPPING INSTRUCTIONS L HEREBY CERTIF TRERE IS AN UNOBLI9ATED BALANCE IN
•SHIP REPAIR. THIS APPROPRIA UFICIENT TO PAY F• TIE ABOVE ORDER.
C .D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY Amilbra-
PURCHASE ORDER NUMBER MUST APPEAR ON ALL v° t
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ��V/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 26260
OFFICE COPY