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31869 Roudebush a Q ?` INDIANA RETAIL TAX EXEMPT PAGE �� r �y of Carmel- AU?I'CERIYFlCEITE NO.003120155 002 0 PURCHASE ORDER NUMBER ���../// i FEDERAL EXCISE TAX EXEMPT 31869 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 4/14/2014 Roudebush Equipment Street Department VENDOR SHIP 3400 W. 131st Street 2911 State Road 32 East TO Carmel, IN 46074 Westfield, IN 46074 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 2201-635.00 1 Each Rhino Cutter/Hitch/Chain Guards $2,845.00 $2,845.00 Sub Total: $2,845.00 0 ,gyp . s ik, s 111 , Send Invoice To: 4 F.....•••�0 Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $2,845.00 • NP 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 CERTIFY. THAT THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRI TION SU FIICIEN T PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY // A / _-..—^... SHIPPING LABELS. p 11y •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 5 +/I Y i ,tit iv t 5 5/0// C AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31869 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE