31876 Delello & SonCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
997
PAGE
PURCHASE ORDER NUMBER
31876
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
712112014
VENDOR
Delello & Sons
17306 Westfield Park Road
Westfield, IN 46074
SHIP
TO
Street Department
3400 W. 131st Street
Carmel, IN 46074
(317) 733-2001
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
OU■NTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 0043 - 502.00
1 Each Alley Behind 40 E. Main St.
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
$5,076.00
Sub Total:
$5,076.00
$5,076.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Street Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• Lon SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
TITLE
PAYMENT $5,076.00
• 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 TU'E"/'PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFgTHAT THERE IS AN UNOBLIGATED BALANCE IN
IpT
THIS APPROPRIOfj%5 FFICIENT TO PAY FOR▪ eTHEABOVE ORDER.
31876 6 C CLERK - TREASURER
DOCUMENT CONTROL NO. �• A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE