101352 N-SITE STORAGE SOLUTIONS ��� ®� CairrrielINDIANA RETAIL TAX EXEMPT Page 1 of 1
pCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
<,�/y FEDERAL EXCISE TAX EXEMPT 1 01 352
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/2/2018 371522 Large Cube Containers
ON-SITE STORAGE SOLUTIONS Street Department
VENDOR 23805 ASPEN DRIVE SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
MURRIETA, CA 92562- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23058
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 44-670.00
2 Each Storage Container $2,300.00 $4,600.00
Sub Total $4,600.00
t z
1
t da'•
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $4,600.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. 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
*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 p
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 fie/ 149
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Dave Huffman
TITLE Director 4
CONTROL NO. 101352 CLERK-TREASURER