50922 EASTERN ENGINEERING SUPPLY INDIANA• RETAIL TAX EXEMPT PAGE 1
City
CERTIFICATE NO.003120155 002 0
e 3 PURCHASE ORDER NUMBER
-... «,...,..o...... . t
FEDERAL EXCISE TAX EXEMPT ( 50922
35.60000972
ONE.CIVIC.SQUARE __ ...-.
I THIS NUMBER MUST APPEAR ON INVOICES,MPCARMEL;:�NDL�t'IA.45032- 64 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
i FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE 1 DATE REQUIRED I REQUISITION Na ( VENDOR NO, j DESCRIPTION _T
2/16/2018 102/19/18 15359 357316i Documents for Project-West Park-The Groves Phase I
•
Eastern Engineering Supply Administration Office
2810 N Wheeling Ave 1411 E. 116th Street
VENDOR Muncie,IN 47303 SHIP Carmel,IN 46032
TO
CONFIRMATION BLANKET 1 CONTRACT I PAYMENT TERMS ,, FREIGHT
QUANTITY --"F UNIT OF MEASURE[ DESCRIPTION 1
.._ ._.UNIT PRICE 1 EXTENSION
1.000 each Project Documents $1,409.4700 $1,409.47
GLAccount#1060000-5023990
Send Invoice To:
$ 1,409.47
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT i PROJECT ACCOUNT .� � AMOUNT
PAYMENT
• 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
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 Paula Schlemmer
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50922 VENDOR COPY