102300 CARMEL CLAY SCHOOLS-FUEL INDIANA RETAIL TAX EXEMPT Page 1 of 1
ci .l t o- Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102300
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
12/10/2018 042595
CARMEL CLAY SCHOOLS-FUEL PAYMENT Street Department
VENDOR EDUCATION SERVICE CENTER SHIP 3400 W. 131st Street
5201 E MAIN ST TO Carmel,IN 46074-
CARMEL, IN 46033- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31908
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I. EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-314.00
1 Each Gasoline $70,000.00 $70,000.00
Sub Total $70,000.00
Send Invoice To:
Street Department r°
3400 W. 131st Street
Carmel, IN 46074- -4r
� A
(317)733=2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $70,000.00
SHIPPING INSTRUCTIONS •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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•COD.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE SSUE IN BER MUST APPEAR H ALLSHIPPING
99, I19 LABEL �—a -
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /) .i, �v`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY '\(:1'Dave Huffman James Crider
TITLE Director Administration\
CONTROL NO. 102300 CLERK-TREASURER