HomeMy WebLinkAbout31263 New Deal Deicing City o f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
l\�1/.1111 ,llr I,�/ �x;CERTIFICA77E NO.003120155 002 0
�''�r��itl�+N.'+!�"`�rx'!'"-1q' PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31263
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
10/24/2013
New Deal Deicing Street Department
VENDOR
SHIP 3400 W. 131st Street
2172 Acacia Club Road TO Carmel, IN 46074
Hollister, MO 65672 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE • DESCRIPTION UNIT PRICE EXTENSION
Account 0042-365.00
1 Each Sodium Formate & Sodium Acetate $13,286.00 $13,286.00
Sub Total: $13,286.00
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Send Invoice To: '� - � '"Api.
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Carmel Street Department PAYMENT $13,286.00
• 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 CERTIFY/T,PAT THEREIS.AN UNOBLIGATED BALANCE IN
• SHIP REPAID. THIS APPRO�PjR/AI10 RICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. O
ORDERED BY Cr
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL J
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
31263 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE