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31257 Public Finance
• C0¢.,�,, INDIANA RETAIL TAX EXEMPT PAGE \�.i t \,/ of Carmel arme l t. EFRTIFICATE NO.003120155 002 0 / + �1� .//tV� �1a 11�11a PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31257 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 91612013 Public-Finance.Com Street Department VENDOR SHIP 3400 W. 131st Street TO 100 East Hospital Road Carmel, IN 46074 Franklin, IN 46131 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0043-530.99 1 Each Sweeper Lease Payment $25,000.00 $25,000.00 Sub Total: $25,000.00•Olt- ;- -© i 11- -''re. a SI, ,� 3,0((//^^ A iimr 011 o �� 3Send Invoice To: -Jr - �(f Street Department 4 A 3400 W. 131st Street Carmel, IN 46074- 0 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT - PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $25,000.00 • 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 CER f1'THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPp 1A ITfJ ,SUF.FICIENT TO PAY FOROVE ORDER. •SHIP REPAID. �/ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. 1 ORDERED BYO ' I1//p//• •• '�--�.^� • G • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,// SHIPPING LABELS. f � •THIS ORDER ISSUED.W COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE // AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q CLERK-TREASURER DOCUMENT CONTROL NO. 312 57 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE