HomeMy WebLinkAbout29431 Brown's Oil ServiceCi of Carime
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
29431
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO. PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO,
VENDOR NO.
DESCRIPTION
2/11/13
M000896
Oil for Equipment Repairs
Brown's Oil Service
4800 Van Cleave Street
VENDOR Indianapolis, IN 46226
SHIP
TO
Maintenance Office IR.cFrvEI)
1427 E. 116th Street '
Carmel, IN 46032 I FEB 12 2013
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
1
1
EA
EA
Send Invoice To:
55ga1 Drum - Full Synthetic 5w40 Oil
Pump for Drum
UNIT PRICE
EXTENSION
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT
$730.24
$30.00
$760.24
$730.24
$30.00
PROJECT
1 PROJECT ACCOUNT
AMOUNT
1125 -4 -13- 4232100 - Gararge & Motor Supplies
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
29431
PAYM ENT
• PIP VOUCHER CANNOT BE APPROVcD FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWOR1 AFFIDAVIT ATTACHED,
• 1 HEREBY CERTIFY THAT THERE IS /N UNDBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 7D PAY FOR THE ABOVE ORDER,
ORDERED BY
TITLE
CLERK - TREASURER
VENDOR COPY
John Gates - DK (�I�1�1����