101551 KAFKA GRANITE LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciit37 of Ia]rI11e1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101551
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
41412018 367841 Granite Pathway Mix
KAFKA GRANITE LLC Street Department
VENDOR 550 E.HIGHWAY 153 SHIP . 3400 W. 131st Street
TO Carmel,IN.:46074=
MOSINEE,WI 54455 (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24786
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-360.00:.
1 Each Granite Pathway Mix :. $13,616.00 $13,616.00
Sub Total $13,616.00
of
.�. NAY 8 :.
Send Invoice To: <:
Street Department
3400 W. 131st Street
Carmel,IN 46074.
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT 9 PROJECT ACCOUNT V AMOUNT
• PAYMENT $13,616.00
SHIPPING INSTRUCTIONS .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
'SHIP PREPAID. 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `-✓
Dave Huffman Douglas Haney
TITLE Director Corporation Counsel\��
CONTROL NO. 101551 CLERK-TREASURER \�