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37756 MacAllister MachineryCity of Carmel INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35- 60000972 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PAGE 1 PURCHASE ORDER NUMBER 37756 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 10/31/2014 11/04/14 3326 Oil Filter, Air filter, and Fuel filter for 2014 Kubota ATV MacAllister Machinery Co. Inc P 0 Box 660200 VENDOR Indianapolis, IN 46266 -0200 SHIP TO Parks Maintenance 1427 E. 116th Street ATTN: Courtney Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYI.IENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 4.000 each Oil filter part number HHK32 -16770 for Kubota RTVx 1100C $ 43.0500 $ 172.20 4.000 each Fuel Filter part number 6A320 -59930 for Kubota RTVx 1100C $ 14.1100 $ 56.44 4.000 each Air Filter Outer part number 1G319 -11210 for Kubota RTVx $ 24.3000 $ 97.20 1100C 4.000 each Airt Filter Inner part number K7591 -82360 for Kubota RTVx $ 56.1000 $ 224.40 1100C Send Invoice To: GLAccount# 1125413- 4237000 PLEASE INVOICE IN DUPLICATE $ 550.24 DEPARIMENI ACCOUNT l PROJECT [ PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS • SHIP REPAID. C SHIPMEN 15 CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON AI.L SHIPPING LABELS • THIS ORDER ISSUED IN COMPLIANCE WIDI CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY IHEREOF AND SUPPLEMENT THERETO. PAYMENT APT 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. ORDERED BY TITLE CLERK - TREASURER DOCUMENT CONTROL NO. 37756 V LNDOR COPY Todd Snyder