31861 Engledow Group City G ty of f Carmel INDIANA RETAIL TAX EXEMPT PAGE
`lam/1111 ',6,Six.CERTIFICAT[:N0.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31861
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
3/7/2014
Engledow Group Street Department
VENDOR
SHIP 3400 W. 131st Street
TO
1100 E. 116th Street Cannel, IN 46074
Carmel, IN 46032 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-504.00
1 Each irrigation maintenance $5,325.78 $5,325.78
/yam Sub Total: $5,325.78
0 .."-• 4,1>*Ss
14
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... . .ik"C.5,0
Send Invoice To: '?�.�f - .'`' ���-- - 150
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
F
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT } AMOUNT
Carmel Street Department PAYMENT 1 $5,325.78
• A/P 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 CE2tIFY THAT THERE ISAN UNOBLIGATED BALANCE IN '
• SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•CO.D.SHIPMENTS CANNOT BE ACCEPTED. L'
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELU.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. 31861 A.P•V'COPY-SIGN AND RETURN TO CLERK'S OFFICE