37660 Runyon Equipment Rental City of INDIANA RETAIL TAX EXEMPT PAGE 1
City of Carmel CERTIFICATE N0.0031 20155 002 0
1!
PURCHASE ORDER Nt1A1REk
FEDERAL EXCISE TAX EXEMPT 37660
35-60000972
•
DOE
THIS NUMHER MUST APPEAR ON INVOICES.ATP
VOUCHER,DELIVERY MEMO,PACKING SUPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING IMEI s AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED 12EOUISITION NO. VENDOR NO. DESCRIPTION
1017/2014 10111114 3099 Dump truck rental for moving mulch
Runyon Equipment Rental Parks Maintenance
410 W Carmel Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 TOP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY l UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
1.900 each #5200-Single axle 5-ton dump [ruck for 1 day of use 5 325.0000 $ 325.00
150.000 each 5.35 per mile driven (estimate of 150 miles = about 7 trips as $0.3500 S 52.50
well as to and from Runyons)
GLAccount# 1125401-4350400
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Send Invoice To:
$377.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ` ACCOUNT I PROJECT PROJECT ACCOLINI AMOUNT
PAYMENT
• Adz'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_
. I HEREBY CERTIFY THAT THERE IS AN UNODLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C 00 SHIPMENTS CANNOT BE ACCEPTED,
PURCHASE ORDER NUMBER MUST APPEAR ON AUSHIPPINO IAITELS. ORDERED DY Courtney Weintraul ] - K( --/�, F ((DI—I I4i1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 9E.ACTT 1045 li'�
AND ACTS AMENDAI CRY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37660 VENDOR COPY