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HomeMy WebLinkAbout26826 Mid-State Truck Equipment INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2(i S 2-lp 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 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 10- 313 I mid - Sfia+t T vcic Cie;en--vr-, 1v, .. L' or ('arrn,�.t VENDOR i 102.0 AI IISOY)VIIU, ood SHIP Co ry-thnU-�1 Re Ito-16 is ptp1---- TO ON G lilt oc - Fshers, 1N up03g Carmel, i4 tao 3;. CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION nnUO MObitt, S niltin-Devitt a, r pctlr I nSpeCtio 1-1 x. 11. f COO, as s 4:74/ , .>>0 ©,,AZ4 :41.1P. , ..• ', . .... • . . . . •` I„r,, • ,,,,i,,,..,„, , , fr, ,.., „,,, . . , ,.., .. . . ,,,,,, __, ,,.., .. ,,,,I _ --- - ..- •° -, , S , . - \ ve .. ° ' . fit ,.tl � ..... �..,,_,,,, v, „ . . ,, Send Invoice To: ' 1203 y >j5cvo3 l bOO o0 • PLEASE INVOICE IN DUPLICATE ' DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT ( AMOUNT . 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 AN UNOBLIGATED BALANCE IN THIS APPROPRIATION UFFIC ENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ,�-, •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 7 i.11 ' / SHIPPING LABELS. a�� - C 4 4 :/C-- ' f� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. . DOCUMENT CONTROL NO. 268.26 CLERK-TREASURER OFFICE COPY v