HomeMy WebLinkAbout31266 Mid-State Truck C0 ty of f Carmel v sane/ '°u'`'CERTIFICAT ENO. TAX EXEMPT 155 00 PAGE
,1111111 'lam./ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31266
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
12/3/2013
Mid-State Truck Equipment Street Department
VENDOR SHIP 3400 W. 131st Street
TO
11020 Allisonville Road Carmel, IN 46074
Fishers, IN 46038 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 2201-670.99
1 Each 7.6' Boss Snow Plow
Sub Total:
� l�nr�rr-Sr� a 6) *q ,ywo. eo
a'•
a
90
Send Invoice To: ��� �� , (t�;��7
Street Department
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Carmel Street Department PAYMENT
• A/P 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/THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI TI N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•CO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS. •
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 444 `l - -
ANDACTSAMENDATORYTHEREOFAND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31266
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE