50790 MACALLISTER MACHINERY CO INC INDIANA RETAIL TAX EXEMPT '' PAGE 1
CERTIFICATE NO.003120155 002 0
I
Cityof
PURCHASE ORDER NUMBER ��� �
1 FEDERAL EXCISE TAX EXEMPT 50790 .
35-60000972 I j
ONE CIVIC SQUARE
CARMEL,INDIANA 48032-25S4 NUMBERTHIS OUCH RELI ERY MEMO,P CK NGINVOICES,
i SLIPS,
I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 I SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE( DATE REQUIRED L REQUISITION NO a _.. VENDOR NO. __ _._ W^ DESCRIPTION
I
1/18/2018 101/22/18 15065 , jAccessorYrackforKubotaRw
__._._.___._...__ I :.... 00351502
MacAllister Machinery Co. Inc Parks Maintenance
P 0 Box 660200 1427 E. 116th Street ATTN:Courtney
VENDOR Indianapolis, IN 46266-0200 To P Carmel, IN 46032
•
CONFIRMATION BLANKET # CONTRACT PAYMENT TERMS �mm FREIGHT .....__..._........._._..,_�. __ .....
QUANTITY 1 UNIT OF MEASURE 1 DESCRIPTION 1 UNIT PRICE [ EXTENSION
1.000 each RR-SM1378X utility bed rack for RTV-X900,X1 $375.0000 $375.00
1.000 each shipping $60.0000 $60.00
GLAccount#1125401-4232100
Send Invoice To:
$435.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT r ACCOUNT I PROJECT ROJECTACCOUNT `I�_ w AMOUNT
PAYMENT
• AP 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 UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 98,ACTS 1945 V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
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CLERK-TREASURER
DOCUMENT CONTROL NO. 50790 VENDOR COPY