36632 Cargill City INDIANA RETAIL TAX EXEMPT PAGE 1
r 1.��, � � CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
[`•../ FEDERAL EXCISE TAX EXEMPT 36632
35-60000972
.,_ti M:L. li1_,1'_i(r_ =„__ _ THIS NUMBER MUST APPEAR ON INVOICES.ANP
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
2/10/2014 02/15/14 557 0035/986 Road Salt
Cargill Incorporated Parks Maintenance
P.O. Box 98220 1427 E. 116th Street ATTN: Courtney
VENDOR Chicago, IL 60693-8220 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
20.000 ton clearlane road salt $ 72.77 $ 1,455.40
GLAccount# 1125401-4236500
Send Invoice To:
$ 1,455.40
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
lb �-- • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
1'—TI �. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTION'• AFFIDAVIT ATTACHED.
FEB 0�� . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON A 13II14ING LABELS. ORDERED BY Courtney Schlaegel ^ n�-,,H .` L? 1I UI L.I.i• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
t 14.E t_ «l 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36632 V1:NDoR cot",'