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HomeMy WebLinkAbout31270 Daystar Directional Drilling C O City of f ear e 11 • `" INDIANA RETAIL TAX EXEMPT PAGE l\mil/-11111111 1'L '^"`CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31270 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 12/10/2013 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 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0042-370.01 1 Each Pipe Installation 96th St. /Tamarack . ' $6,391.61 $6,391.61 Sub Total: $6,391.61 'cssQ.... , .. :" 41.11141 � • .. )1* i a OA A iiiripl • • Send Invoice To: - ` ��� "" ©- � ,G��! 4 R ClC\O C8 Nid kb Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT,�,,o Carmel Street Department PAYMENT Cq. • 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 9ERTIFY THAT THERE IS AN IJNOBLIGATED BALANCE IN • SHIP REPAID. THIS APP••F TATION-SUFFICIENT TO P Y FOR THE ABOVE ORDER. •C.O.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 ' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 312 / 0 CLERK-TREASURER A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE