31867 Engledow Group 0 INDIANA RETAIL 1 PAGE C] y of C Ir e l t q CER If1CATE NO 00320155 02 0 EXEMPT
PURCHASE ORDER NUMBER ■
FEDERAL EXCISE TAX EXEMPT 31867
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
4/1/2014
Engledow Group Street Department
VENDOR SHIP 3400 W. 131st Street
TO
1100 E. 116th Street Carmel, IN 46074 .
-
Carmel, IN 46032 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-504.00
1 Each Irrigation/Winterization 2014 $6,899.20 $6,899.20
Sub Total: $6,899.20
cit 1
0 { � 1 v� 1
Send Invoice To: `_' °L_
fit/ l�J
Street Department
3400 W. 131st Street .
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $6,899.20
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CEFITJF,Y THAT,THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPRO RITION SUFFICIENT TOPAY FOR-THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ` (" ‘� - T
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL \)_A
SHIPPING LABELS. G/v`
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
•AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31867 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE