102304 SIGNAL CONSTRUCTION o INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ® Iiirrinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102304
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 00352135
SIGNAL CONSTRUCTION INC Street Department
VENDOR 5639 WEST US 40 SHIP 3400 W. 131st Street
TO Carmel, IN 46074
GREENFIELD, IN 46140 (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS. FREIGHT
31912
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-500.80
1 Each Repairs $60,000.00 $60,000.00
Sub Total $60,000.00
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ate,
Send Invoice To:
Street Department
3400 W. 131st Street ~_,
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $60,000.00
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 • /2/441,..,.-.......--f...-1_ c,-,e, -.0'e,:_-€.0 �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY fit//C't ��
Dave Huffman James Crider \
TITLE Director Administration
CONTROL NO. 102304 CLERK-TREASURER