36670 MacAllister Machinery Co Inc INDIANA RETAIL TAX EXEMPT PAGE 1
City of Carmel CERTIFICATE N0.0031201550020
'l. \`/ C-Il PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36670
35-60000972
-OCIi-1 ',• _ 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 NO. VENDOR NO. DESCRIPTION
2/19/2014 02/23/14 636 0035/502 Repairs to the Kubota RTV snow plow hydraulic
MacAllister Machinery Co. Inc Parks Maintenance
P 0 Box 660200 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46266-0200 ToIP Carmel, IN 46032
CONFIRMATION BLANKET l CONTRACT PAYMENT TERMS I FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION ` UNIT PRICE I EXTENSION
1.000 each New switch/relay for Kubota RTV hydraulic repair of snow plow $ 260.00 S 260.00
GLAccounlR 1125401-4350000
Send Invoice To:
$260.00
r PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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 - —sT• AFFIDAVIT ATTACHED.
T D- I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. FEB 1 9 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
- C.O.D SHIPMENTS CANNOT BEACCEPTED. FEB 1 9 2014 /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERE I BY Courtney Schlaegel Liro111'i 1iV 0F1 Q / IQ//J/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 Y` r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36670 iiiEhliDefit Cris-"