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HomeMy WebLinkAbout31253 E&B Paving C41 INDIANA RETAIL TAX EXEMPT PAGE ity o of 1\ -cii r 'r l ts.,9Y4,pac t.W NO.003120155 002 0 PURCHASE ORDER NUMBER �1/ �vJ�la FEDERAL EXCISE TAX EXEMPT 31253 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. 1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7/9/2013 E & B Paving Street Department SHIP 3400 W. 131st Street VENDOR 286 West 300 North TO Carmel, IN 46074 Anderson, IN 46012 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS ,. FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0043-502.00 1 Each Street Repaving $491,069.53 $491,069.53 Sub Total: $491,069.53 4 • C �q • © 9.4. ,6•,.. , v 1 Niiiipack5 --. / %.'- f ,,,,,,,..--, , •••.„ • .••• ii, Aok-A --—4.6000 Send Invoice To: - 0' °1 f( Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $491,069.53 • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS TFSE;PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFYTHATTHERE,IS AN UNOBLIGATED BALANCE IN • SHIP REPAID. THIS APPRO �SUICIENT TO PAY FOR THWABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY \ SHIPPING LABELS. /) w '//M4�� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /v/VAA. ` _o�_�/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 312 3 ERK-TREASURER A.P.V.A.P.V t' DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE