101948 PIEDMONT PLASTICS INDIANA RETAIL TAX EXEMPT Page 1 of 1
cii City of I1arIT1r1e1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101948
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
9/14/2018 372784
PIEDMONT PLASTICS INC Street Department
VENDOR 5010 W WT HARRIS BLVD SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
CHARLOTTE, NC 28269- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29301
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each Sheeting For Hut Counters $20,604.00 $20,604.00
Sub Total $20,604.00
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Send Invoice To:
Street Department -`\ f'�
3400 W. 131st Street
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Carmel, IN 46074- ,., } j
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $20,604.00
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 /� — / ,�-.-44._.1,'1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY v
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 101948 CLERK-TREASURER