101921 WHITE'S ACE HARDWARE • oINDIANA RETAIL TAX EXEMPT Page 1 of 1-:
•
. ... . City.: of Cari-Ta-- : el' - CERTIFICATE'NO.003120155 002 0. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT' �0192� •
ONE CIVIC SQUARE .-. . .: 35-6000972 :. THIS NUMBER MUST APPEAR ON'INVOICES,AIP • •
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
9/5/2018. 037500 :Safety ac ets . :" . 0\4 •
•
. . .
...
..
WHITE'S,ACE HARDWARE
Street Department
• VENDOR:- 731 S...RANGELINE ROAD : :SHIP 3400 W: 131st:Street
. .: . TO•:. :C. mel,IN:46074-... . : . .. : . _. .•.
ar
CARMEL, IN 46032- (317)733-2001
PURCHASE IP BLANKET CONTRACT PAYMENT TERMS . FREIGHT
29066 . - --
QUANTITY :: UNIT OF.MEASURE: .. : : . :-DESCRIPTION: :: : . UNIT PRICE : :• EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle I-Jig hwai FND -.:-. ii-. . . .: .- -
' . Account:. 43-560.03
1- Each Safety Jackets . -•• $11,142.51 • $11;142.51
.
.: . . .:. .-. . : : Sub Total $.11,142.51
•
• . : ,,,,.ict9' 13 ....•Ll.
Rf
•.
.1.1- -..1.-:11. . .
. . . 7,::' :.' ' .. .. .
'Wirgillb
... . .
Send Invoice-To: . - ,.� P,P '
r
::.
Street Department
3400-W. 131st Street ::
.
it*•
Carmel, IN 46074-_ : _ r� '
(317)733-2001
PLEASE.IN IN DUPLICATE.
. . . DEPARTMENT . : : :.: :ACCOUNT.: :. . PROJECT '.'. PROJECT ACCOUNT : . AMOUNT.
' . ::PAYMENT ::. :-: $11-,142.51,_ •
SHIPPING INSTRUCTIONS •PUP VOUCHERCANNOT 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 - James Crider
•
.:. : TITLE .: :: Director :: . .Administration:
• CONTROL NO. CLERK-TREASURER