HomeMy WebLinkAbout31275 Dallman Contractors 0 QQ,,,,��'�� ///�y� . INDIANA RETAIL TAX EXEMPT . PAGE
C i � \�/ of Carmel' °,�rmel '..9CSIRTIFlCAit NO.003120155 002 0
PURCHASE ORDER NUMBER
s. y " \�/u.+��a �, YYY FEDERAL EXCISE TAX EXEMPT 31275
•
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
12/18/2013
Da. llman Contractors, LLC Street Department
VENDOR SHIP 3400 W. 131st Street
TO
5808 W. 74th Street Carmel, IN 46074
Indianapolis, IN 46278 . (317) 733-2001
•
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 0043-509.00
1 Each Keystone Bridges Concrete Maintenance $75,000.00 $75,000.00
Sub Total: $75,000.00
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Send Invoice To: �1� FO V� `=I - �����
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f1rlJ�Jl�J .
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $75,000.00
• • MP 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 APPROPRIATION UFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. _ ,
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ■
//V�_.11
SHIPPING LABELS.
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•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -- -- Th
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C CLERK-TREASURER
DOCUMENT CONTROL NO. 31275 OFFICE COPY