31868 Ott Equipment Cityof Carmel City o Carmel ,,.'?NCERTIFCAI'E NO.0 3120155 002 0 PAGE INDIANA RETAIL TAX EXEMPT
n \1/ Or JJ1LLL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31868
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 1 REQUISITION NO. VENDOR NO. DESCRIPTION
4/10/2014
Ott Equipment Services Street Department
VENDOR SHIP 3400 W. 131st Street
TO
517 Herriman Court Carmel, IN 46074
Noblesville, IN 46060 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-509.00
1 Each Rotary Power Unit $8,985.00 $8,985.00
Sub Total: $8,985.00
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Send Invoice To: ' s%, ° I! - '
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Street Department
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $8,985.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAPTH RE IS AN UNOBLIGATEDpALANCE IN
•SHIP REPAID.
THIS APPROPRIATION UFIENT TO PAY FOR THE ABOVE ORDER_
•PO.D.SHIPMENTS CANNOT ACCEPTED.
•PURCHASE ASE ORDER M R NUMBER MUST APPEAR ON ALL ORDERED BY //x\I�
/ V /•
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31868 CLERK-TREASURER
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE