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HomeMy WebLinkAbout31277 Signal Construction oQ.,,�,, INDIANA RETAIL TAX EXEMPT PAGE City ®f ;1\i °arme� P. dERTIFlCATE NO.003120155 002 0 \1/Lsu �a PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31277 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 . 12/31/2013 Signal Construction Street Department VENDOR SHIP 3400 W. 131st Street TO 5639 W. US 40 Carmel, IN 46074 Greenfield, IN 46140 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0043-500.60 1 Each traffic signal maintenance $24,180.00 $24,180.00 Sub Total: $24,180.00 Off -rrc-'F -©4- tre' 1/407/ .. • frq ' ile .... 0 4: • 1 O.M ...•©710 Send Invoice To: �Street Department J 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $24,180.00 • 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/HE PROPER SWORN AFFIDAVIT ATTACHED. • SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPRO I ION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. CO .SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / �'L� -�i D ^C 1� J SHIPPING LABELS. �// •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31277 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE