101329 VIVE EXTERIOR DESING _ y
Cit
INDIANA RETAIL TAX EXEMPT Page 1 of I
CFEDERAL EXCISE TAX EXEMPT
Aim O PURCHA1SEryOR�ER�UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A1P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1126/2018 365802 Snow Removal for A&D District
VIVE EXTERIOR DESIGN Street Department
VENDOR 12595 CUMBERLAND ROAD SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
FISHERS, IN 46038 (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22927
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
$9,000.00
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-509.00
1 Each Snow Removal A&D $9,000.00
Sub Total $9,000.00
4
vt
Send Invoice To: K. .;t
Street Department
3400 W. 131st Street
',,`
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICER IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $9,000.00
SHIPPING INSTRUCTIONS 'NP 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
`SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
`PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �� � ¢�,i, `—te l e�
ANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO. ORDERED BY
Dave Huffman James Crider !''�
TITLE Director Administration��
CONTROL NO. 0132 CLERK-TREASURER