101509 BANNON & SON INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Cannel
CERTIFICATE NO.003120155 0020 PURCHASORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101509,
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
1 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
3/16/2018 372312
BANNON&SON Street Department
VENDOR 17110 RIVER AVENUE SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
NOBLESVILLE, IN 46062- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24198
1__QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
L
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-320.00
1 Each Tires $200.00 $200.00
Sub Total $200.00
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Send Invoice To: i �
Street Department •. ?, ,
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3400 W. 131st Street
Carmel, IN 46074- ,� „?. , ``'
(317)733-2001
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $200.00
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 0.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 ORDERED BY 3C`t'" i--- � Wik.�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. / "
Dave Huffman
TITLE Director
CONTROL NO. 101509 CLERK-TREASURER