24612 Milestone ContractorCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE N. +ft\ \
PURCHASE ORDER NUMBER
24612
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
7/25/2014
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VENDOR
Milestone Contractors L.P.
5950 South Belmont Avenue
Indianapolis, IN 46217
SHIP
TO
J
Cannel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 571 -2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
`v
`V
QUANTITY I UNIT..OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43.501-
1 Each Paving - Station 41
1 Each TAC - Station 41
Send Invoice To:
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$21,402.00
$432.00
Sub Total:
521.402.00
$432.00
$21.834.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. 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.
24612
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $21,834.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HA THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY C IFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR PRLATION SUFFICIENT TO PAY, FOR THE ABOVE ORDER.