102225 CARMEL CLAY SCHOOLS FUEL PAYMENT o INDIANA RETAIL TAX EXEMPT Page 1 of 1
1I1 iCity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102225
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
12/5/2018 042595
CARMEL CLAY SCHOOLS-FUEL PAYMENT Dept of Community Service
VENDOR EDUCATION SERVICE CENTER SHIP 1 Civic Square
5201 E MAIN ST TO Carmel, IN 46032-
CARMEL, IN 46033-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31688
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 •Fund: 101, General Fund
Account: 42-314.00
1 Each Fuel $520.80 $520.80
Sub Total $520.80
r
1
I � Ea.
Send Invoice To:
Dept of Community Service ,'-
,r
1 Civic Square
Carmel, IN 46032- .,
ice... ,„:,,,,,--
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $520.80
*NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 l'477 _e5-'''
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `Ii
Mike Hollibaugh
TITLE Director \
CONTROL NO. 102225 CLERK-TREASURER ,