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Lity of Carmel I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER —
FEDERAL EXCISE TAX EXEMPT 1 29946
35.60000972
ONE CIVIC SQUARE - - ' THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 4643 2 2.584 VOUCHER, DELIVERY MEMO. PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEI. • 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/19/13 ( M001029 c0352'1 cc,5 53's Paver Base Gravel
IMI Irving Materials, Inc. Maintenance W __
VENDOR SHIP 1
T r\ D k r' ,+'>r��>ri S; l N 4 1( 2O- TO
JUN I 1 9 2013
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iiitFIRMhTI^N { BLANKET CONTRACT! PAYMENT FREIGHT -i
CUANTITY UNIT OP MEASURE DESCRIPTION ; UNIT PRICE [ EXTENSION
3 EA Triaxle Load of 53's Paver Base Gravel $385.00 $1,155.00
•
Send Invoice To:
PLEASE INVOICE IN DUPLICATE $1,155.00
DEPARTMENT 1 ACCOUNT 1 PROJECT I PROJECT ACCOUNT I AMOUNT
1125-4-13-4236000-Gravel PAYMENT
• A/P VOUCHER CANNOT RE APPROV:D 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 15/N UNOBLIGATED BALANCE IN
•SHIP REPAID, THIS APPROPRIATION SUFFICIENT T,)PAY FOR THE ABOVE ORDER.
•C.O.D SHIPMENTS CANNOT BE ACCEPTED John Gates - DK c.
ORDERED BY c.r �t i D-__• PURCHASE ORDER NUMBER L1Ufff APPEAR ON AU_
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF ANDSUPPLf.MENTTHEHE�iO. `-""--�`-"-----------�----------- I
29946 CLERK-TREASURER
DOCUMENT CONTROL NO. �'E!�'c€� COPY _-- --
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