52101 RUNYON EQUIPMENT RENTAL INDIANA RETAIL TAX EXEMPT PAGE 1
r ���+++ CERTIFICATE No.003120155 002 0
t'; t ;ar [ 1 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52101
35-60000972
OPjE CIVIC SQUARE
CARMEL,,!j•jDj;:,j-j;;4-r^,0?2_2z% THIS NUMBER MUST APPEAR ON INVOICES,/VP
VOUCHER,DEUV RY 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
11/1/2018 10/30/18 18000 354867 Equipment Rental
Runyon Equipment Rental Parks Maintenance
410 W Carmel Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 TOP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each One day chipper rental 15"- 10/30/18 $275.0000 $275.00
1.000 each Damage Waiver Fee $27.5000 $27.50
GLAccount#1125401-4353099
•
Send Invoice To:
$302.50
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 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 Neil Whitehead ^\4‘CI• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \\
DOCUMENT CONTROL NO. 52101 VENDOR COPY
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