HomeMy WebLinkAbout31265 Cryotech Deicing C0 INDIANA RETAIL TAX EXEMPT PAGE �.
i I \)/ of Carmel - ,ovi GERTIFICATE,NO.003120155 002 0 PURCHASE ORDER NUMBER
a' �` FEDERAL EXCISE TAX EXEMPT 31265
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
1112612013
Cryotech Deicing Technology Street Department
VENDOR SHIP 3400 W. 131st Street
TO
Dept LA 23065 Carmel, IN 46074
Pasadena, CA 91185-3065 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 0042-365.00
1 Each Potassium Acetate $12,000.00 $12,000.00
Sub Total: $12,000.00
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Send Invoice To: 0� C co AS
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Street Department
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $12,000.00
Carmel Street Department • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HASTHE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI TION SUFFICIENT TO PAY FOR.THE ABOVE ORDER.
•SHIP RSHAID. ( /("� ,.�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED./(--"'
/\-__ �, /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY YYY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31265 A.P.V. COPY-SIGGN AND RETURN TO CLERK'S OFFICE
