HomeMy WebLinkAbout31269 Daystar Directional Drilling Cityof //�y� INDIANA RETAIL TAX EXEMPT PAGE
\\ ,ity ® II 1\ _armel. t CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31269
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NPI
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.I
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/10/2013
Daystar Directional-Drilling Inc. Street Department
VENDOR SHIP 3400 W. 131st Street
TO
P.O. Box 1684 Carmel, IN 46074
Noblesville, IN 46061 (317)733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE, DESCRIPTION UNIT PRICE EXTENSION
Account 0042-370.01
1 Each Pipe Installation 96th St, /Tamarack $8,700.00 $8,700.00
Sub Total: $8,700.00
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Send Invoice To: • -
Ca I�l/�Jn
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT S.8;7.00_40• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESSTHE 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 CERT4FY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPAI• -• FICIENT TO PAY FORT E ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LRBELU. 47//:
/// /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �lJq—f//�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
c[� CLERK-TREASURER
DOCUMENT CONTROL NO. p�' A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE