36718 Runyon Equipment Rental City+ ,,�/ �� XEM PAGE 1
I m CERTIFICATE INDIANA RETAIL NO.003120TAX E155 002 PT 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3671$
35-60000972
":I`'.' ::. i.I'= = „- THIS NUMBER MUST APPEAR ON INVOICES,NP
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 Na VENDOR NO. DESCRIPTION
3/7/2014 03/11/14 770 3 5 q g 67 Bush hog for prairie care
Runyon Equipment Rental Parks Maintenance
410 W Carmel Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION I UNIT PRICE EXTENSION
2.000 each 6'tractor bush hog for 2 weeks, start;ng March 10 if available $ 380.00 $ 760.00
GLAccount# 1125401-4350400
Send Invoice To:
$ 760.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
S�
� EC r F TVED PAYMENT
i�'�JI • AlP 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
SHIPPING INSTRUCTIONS MAR 10 2014 AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
3Y:
C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel 7 J f.---2 j(5`
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36718 VENDOR CE. f