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INDIANA RETAIL TAX EXEMPT PAGE
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Cy Carmel JJ/I PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31267
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
121512013
C C & T Construction Street Department
VENDOR SHIP 3400 W. 131st Street
TO
5051 Prospect Street Carmel, IN 46074
Indianapolis, IN 46203 (317)733-2001
CONFIRMATION AL iripae NTRACT PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 0043-509.00 -
1 Each Ramp Installation at Penn & College $13,135.00 $13,135.00
Sub Total: $13,135.00
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Send Invoice To: l/ a -
S Street Department
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $13,135.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
- VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFYTHAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. _
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. //(q
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / / ,�
SHIPPING LABELS. ( / ) /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ✓I`$/'L[-1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. 31267 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE