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101372 BULLEX o INDIANA RETAIL TAX EXEMPT Page 1 of 1 . : C4t ®f CairnielCERTCATE NO.003120155 0020 PURCHRUMBER FEDERAL EXCISE TAX EXEMPT * - : 101.372 ONE CIVIC SQUARE 35-6000972 .. : : THIS NUMBER MUST APPEAR ON INVOICES,NP - . - VOUCHER,DELIVERY MEMO,PACKING SLIPS, . - • CARMEL; INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE • FORM APPROVED BY STATE BOARD OF-ACCOUNTS FOR CITY OF CARMEL 711997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO: VENDOR NO. DESCRIPTION . • 21512018 •• 368576 50 Gallon Drum Liquid Smoke . BULLEX_ , Fire Department VENDOR: L-3509 • : : -:SHIP 2 Civic Square • T0.• Ca_. rmel,:IN 46032- • - - COLUMBUS;OH 43260- PURCHASE ID BLANKET CONTRACT -- : PAYMENT TERMS:- FREI T;:: ;. .23192 - . . • QUANTITY ::• : UNIT OF MEASURE . : : .' :•DESCRIPTION: - : • : : UNIT PRICE - EXTENSION • Department 1120 01 Fund: 1General Fund = - Account: 42-390.99 _.- 1. Each SLO5OG - Liquid Smoke-50 Gallon Drum -- - - • : $1,995.00 . $1;995.00 • 1 :Each : :• - Shipping. : $314.26: :.. .':$314.26. :: Sub Total $2,309.26 : • , ri..*t - . „Pitt 1,,N.,. .. . . • • .. ::. �. III: ; M1l • � ' 11� .,/ Aid ,° .117:? it�• . , Send Invoice:To: - - - �' -„ _ Fire Department::. :': . . 2:Civic Square •—• .,,,,,,....410i.ta-IA.Auzit,4,...,, , . -, . . . . • Carmel, IN 46032- :. PLEASE INVOICE IN DUPLICATE. . DEPARTMENT ::: I. . ::: :ACCOUNT:: :. PROJECT '. . ::PROJECT ACCOUNT . . . AMOUNT. . ... : : PAYMENT 26 $2,309. . . . •NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A - - SHIPPING INSTRUCTIONS • PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN *SHIP PREPAID. AFFIDAVITATTACHED.::I:HEREBY CERTIFY THAT THERE IS A N UNOBLIGATED BALANCE IN: :. . *CAD.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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .•'ORDERED BY Denise Snyder •. : I .. I•TITLE ::. :Budget&:Accreditation:Manager I:. : - CONTROL NO. CLERK-TREASURER