51724 RUNYON EQUIPMENT RENTAL INDIANA RETAIL TAX EXEMPT PAGE 1
/-� 1 CERTIFICATE NO.003120155 002 0City
o� rme PURCHASE ORDER NUMBER
V tL,�i 111 ���✓✓✓ FEDERAL EXCISE TAX EXEMPT 51724
35-60000972
ONE CMC SQUARE
CARMEL,luat441 4032-251.= THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
7/23/2018 07/21/18 17122 354867 Equipment Rental for Park Maintence Use
Runyon Equipment Rental Parks Maintenance
410 W Carmel Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032
SH Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each 5061 10"chipper two day rental 7/17-19/2018 $550.0000 $550.00
1.000 each Damage Waiver Fee $55.0000 $55.00
GLAccount#1125401-4353099
Send Invoice To:
$605.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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 UNOBUGATED 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 Neil Whitehead ++++�����
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE /yam
CLERK-TREASURER ` ��
DOCUMENT CONTROL NO. 51724 VENDOR COPY