51334 GLOBE ASPHALT PAVING CO. INC. INDIANA RETAIL TAX EXEMPT PAGE 1
, C CERTIFICATE NO.003120155 002 0City
I PURCHASE ORDER NUMBER
Car FEDERAL EXCISE TAX EXEMPT
51334
35-60000972
ONE CMC SQUARE
CARMEL,ItIMANA=Se=2-25E4 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
5/14/2018 05/14/18 16248 108335 Stone grading of Hazel Landing entrance drive
Globe Asphalt Paving Co. Inc. Parks Maintenance
P.O. Box 19168 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46219 SHITO
Carmel, IN 46032
•
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Stone grading,scarify,grade,and roll entire drive from $2,250.0000 $2,250.00
concrete entrance to parking lot
GLAccount#1125410-4350400
Send Invoice To:
$2,250.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 :
::
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE 34.. �
CLERK-TREASURER J
DOCUMENT CONTROL NO. 51334 VENDOR COPY