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101627 TC TRAILERS INDIANA RETAIL TAX EXEMPT Page 1 of 1 Cityof I . nrinhie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 101627 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE )RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/30/2018 369541 T C TRAILERS Street Department VENDOR 437 S.STATE ROAD 29 SHIP 3400 W. 131st Street TO Carmel, IN 46074- MICHIGANTOWN, IN 46057- (317)733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 25492 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department 2201 Fund: 2201 Motor Vehicle Highway FND Account: 44-670.99 1 Each VIN#5L3EX2524J 2018 T-Man Trailer $7,950.00 $7,950.00 L000815 Sub Total $7,950.00 C 'sem Send Invoice To: Street Department 3400 W. 131st Street •.:z., Carmel, IN 46074- (317)733-2001 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $7,950.00 SHIPPING INSTRUCTIONS *AlP 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 ;.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. =PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL G% - *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY (\•hV Dave Huffman James Crider \V TITLE Director Administration /0\ CONTROL NO. 101627 CLERK-TREASURER