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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29594
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING SUPS,
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
3/28/13 M000951 4$f0-1 Honda Generator Repairs
Runyon Rental Maintenance
VENDOR 410 W CaY SHIP
Cav► . , ,94& 4032- TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1 EA Materials & Labor to Replace Inverter $792.36 $792.36
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$792.36
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
1125-4-13-4350000-Equipment Repairs & Maintenance PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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 UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•SHIP REPAID. l
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY John Gates - DK � � 3 12�l I J
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29594 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY