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31254 Cargill
City0 INDIANA RETAIL TAX EXEMPT PAGE ai, ® Carmel GERTifICATE NO.003120155 002 0 `�•' �' PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31254 ' 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. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7/24/2013 Cargill, Inc. Street Department VENDOR SHIP 3400 W. 131st Street TO P. O. Box 415927 Carmel, IN 46074 Boston, MA 02241-5927 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0042-365.00 Each salt $428,218.32 Sub Total: 40$!*"....9"*“ U( ..:�` j�a. kkl: it (11/e 4 C.- .‘1111/4', tit iiiiip ` �0 011 Send Invoice To: • wi ©° ff Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT • 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 THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTd5Y THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATE NSUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. Jae • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �--" •PURCHASE ORDER NUMBER MUST APPEAR ON ALL A / SHIPPING LABELS. / •THIS NG L ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • I DOCUMENT CONTROL NO. 31254 CLERK-TREASURER A.P.V. COPY-SIGGN AND RETURN TO CLERK'S OFFICE