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102012 PLAY & PARK STRUCTURES IN ANA TAIL EXEMPT Page 1 of 1 ciii it IIIairiiii.e1 CERTDIIFICA EENO00310150020 PURCHASE ORDER NUMBER //// llll���....� of FEDERAL EXCISE TAX EXEMPT 102012 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 10/16/2018 368570 PLAY&PARK STRUCTURES Street Department VENDOR 401 CHESTNUT STREET SHIP 3400 W. 131st Street SUITE 410 TO Carmel, IN.46074- CHATTANOOGA,TN 37402- (317)733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 30145 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2201 Fund: 2201 Motor Vehicle Highway FND Account: 43-504:00 1 Each Trash Cans $6,558.38 $6,558.38 Sub Total $6,558.38 f� ~ a'meq -� ,j+ h T ` Send Invoice To: 1 Y ti .-� Street Department , e Il• 3400 W. 131st Street '` „# Carmel, IN 46074- :- ` , 1 .. (317)733-2001 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $6,558.38 SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 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 trje....t...„11)/Zif,---...-re.—.-1- 1-c4..-‘7C11:_ea AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Dave Huffman James Crider TITLE Director Administration 4.1 CONTROL NO. 102012 CLERK-TREASURER