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39280 Bobcat of AndersonCity 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 39280 THIS NUMBER MUST APPEAR ON INVOICES, AIP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/1/2015 11/29/15 7247 Snow plow retainers and parts for install on Bobcat Bobcat of Anderson 2075 E Co Rd 67 VENDOR Anderson, IN 40617 SHIP TO Parks Maintenance 1427 E. 116th Street ATTN: Courtney Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY 2.000 8.000 8.000 1.000 Send Invoice To: UNIT OF MEASURE each each each each DESCRIPTION 6905978 - Rubber edge retainers to hold blade in. 37C1040 - bolts 87D10 - nuts Shipping GLAccount#1125401-4232100 UNIT PRICE EXTENSION PLEASE INVOICE IN DUPLICATE $ 107.8300 $ 2.7100 $ 1.0100 $ 15.0000 $ 215.66 $ 21.68 $ 8.08 $ 15.00 $ 260.42 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 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 ANDSUPPLEMENT THERETO. PAYMENT AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE ANO 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 Courtney WeintrautL<� t 17 \ A 1c TITLE CLERK -TREASURER DOCUMENT CONTROL NO. 39280 VENDOR COPY