50961 INDIANAPOLIS STAR INDIANA RETAIL TAX EXEMPT I!PAGE 1
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µ CERTIFICATE N0.003120155 002 0 I PURCHASE ORDER NUMBER w. ._
City FEDERAL EXCISE TAX EXEMPT
35-60000972 50961
t1NE'CIVICSQ1JARE.. . _.. .. . _ ...
CARMEL 11,11314111A.4E02;2 UST APPEAR ON INVOICES,A1P
I i VOUCHER, M
DELIDELIVERY EMO,PACKING SLIPS,
•t SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 i I
PURCHASE ORDER DATE i DATE REQUIRED I REQUISITION NO. VENDOR NO. DESCRIPTION
2/23/2018 102/26/18 115428 362776 Bid Publication for Monon Trail Rehabilitation Phase 1 Project
Indianapolis Star Administration Office
P.O.Box 677553 1411 E. 116th Street
VENDOR Dallas,TX 75267-7553 So SHIP Carmel, IN 46032
CONFIRMATION 1 BLAIJKET CONTRACT PAYMENT TERMS - FREIGHT
1 I
I I
QUANTITY I UNIT OF MEASURE i DESCRIPTION UNIT PRICE EXTENSION
1.000 each Bid notice for Monon Trail Rehabilitation Phase 1 Project $385.6000 $385.60
GLAccount#1030000-4460703
Send Invoice To: -
$385.60
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ; ACCOUNT �- PROJECT 1 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 M!JSTAPPEARON A1.L SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1995
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER toI
DOCUMENT CONTROL NO. 50961 VENDOR COPY
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