102253 ECO-COUNTER CANADA NORTH AMERICA INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102253
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 I REQUISITION NO. VENDOR NO. DESCRIPTION
12/6/2018 371347
ECO-COUNTER CANADA/NORTH AMERICA Dept of Community Service
VENDOR 604-3981 SAINT LAURENT BLVD SHIP 1 Civic Square
MONTREAL,QC, H2W1Y5 CANADA TO Carmel, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31754
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-670.99
1 Each Bike and Pedestrian Counters $13,505.00 $13,505.00
Sub Total $13,505.00
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Send Invoice To:
Dept of Community Service ;;
1 Civic Square s
Carmel, IN 46032- 11 ' ,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT ! PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
PAYMENT $13,505.00
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.
ORD'PURCHASE SSUE IN BER MUST WITH HOALLSHIPPING
99,ACTS
LABEL i �/"(,-1, ,
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / "—�_M
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider O
TITLE Director Administration /
CONTROL NO. 102253 CLERK-TREASURER \ `(\