36942 Carmel Welding """ INDIANA RETAIL TAX EXEMPT PAGE 1
,of C City al mei CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36942
35-60000972
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
5/2/2014 05/05/14 1341 strobe installation on Kubota RTVX
Carmel Welding Parks Maintenance
550 S Rangeline Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Purchase and installation of strobe light package on the Kubota $945.76 $ 945.76
RTVX
GLAccount# 1125413-4350000
Send Invoice To:
$945.76
PLEASE INVOICE IN DUPLICATE
IDEPARTMENT I /, ACCOUNT I PROJECT PROJECT ACCOUNT I_ AMOUNT
l l �5-rr '' 350000 PAYMENT
""r r-�-=•;` - - A!P 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 AFFIDAVIT ATTACHED.
• SHIP REPAID. r'l \•� �: !�4 . I HEREBY CERTIFY THAT THERE IS AN UNOBUUGATED BALANCE IN THIS APPROPRIATION
1•'� SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.0 SHIPMENTS CANNOT BE ACCEPTED.
- PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING �.__:__._; ORDERED BY Courtney Schlaegel 1 �2u.K cy -' .rj)1/I I/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36942 v'E'3`iD,Ti='