52182 MILLER'S TOWING & TRANSPORT INDIANA RETAIL TAX EXEMPT PAGE 1
City ofC
CERTIFICATE N0.003120155 002 0
arn ie PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52182
35-60000972
_!f=CMC SCWAR_ - -CARMEL ;..'. RsC i zR THIS NUMBER MUST APPEAR ON INVOICES,NP
Rt>1__,Is1 € € Z-C .- 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
11/29/2018 12/03/18 18251 369398 Delivery Fee for heavy bin block order
Miller's Towing and Transport Parks Maintenance
20583 Cyntheanne Road 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 TO Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
8.000 each Freight charge per load to deliver 47 concrete blocks $200.0000 $ 1,600.00
GLAccount#1125401-4350100
•
Send Invoice To:
$ 1,600.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52182 VENDOR COPY