102301 CARMEL CLAY SCHOOLS- FUEL INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit.37 of Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102301
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
12110/2018 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
31909
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 42-313.0. 0
1 Each Diesel Fuel $200,000.00 $200,000.00
Sub Total $200,000.00
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Send Invoice To: '1,, ".".1-2, :- '„,,,y2:,,,;„ .. _ y
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Street Department
3400 W. 131st Street
Carmel, IN 46074- F
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $200,000.00
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.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /�_' C.---€-'6
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /0a4....:„.1.9/41(,......-...z...-,,t. `��"”" A
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \I�
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 102301 CLERK-TREASURER