HomeMy WebLinkAbout25741 TBA North City0 INDIANA RETAIL TAX EXEMPT PAGE
0 Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
li Carmel JJII
1 FEDERAL EXCISE TAX EXEMPT •
35-60000972- /49A1
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2554 VOUCHER, DELIVERY MEMO, 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
5116/2013
TEA North f Cannel Police Department
VENDOR TOIP 3 Civic Square
y
Grildlo Drive Carmel, IN 46032
Camel. IN AM 1 1971 N71
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-398.0 .
2 Each 55 gallon drum • $739.89 $1,479.78. :;;:.•
Sub Total: $1.479.78
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Send Invoice To: �; ),
Carmel Police.Department
Attn: Teresa Anderson
3 Civic Square .
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. ), ..a? PAYMENT 21,479.78 .
• 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.
.1,'...;',!, SHIPPING INSTRUCTIONS • I HEREBY CERTI'I AT THERE IS AN�NOBLIGATED BALANCE IN
THIS APPROP IA,TI NI UFFICIENT •PAY FOR THE ABOVE ORDER.
SHIPyREPAID. -
C O D.SHIPMENTS CANNOT BE ACCEPTED.
' ORDERED BY I -
-M.•'P_URCHASE ORDER NUMBER MUST APPEAR ON ALL /
~':2.,SHIPPING LABELS. !
•:•THIS;ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hIrnr M PMIIP-tsl
f AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,
- :a LV' 25741 CLERK-TREASURER
DOCUMENT CONTROL NO OFFICE COPY .