102219 SEILER INSTRUMENT & MFG CO INC R3CEIP'T Page 1 of 1
0 Cty O�Ife ft TAIL TAX EXEMPT 4 6.13 7..
iIiic«✓✓✓ of cIIarriie LE OF sL� gtA pEE3120155 002 0 PURCHASE ORDER NUMBER
...LLL ' FEDERAL EXCISE TAX EXEMPT 102219
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 356978 GIS Survey Equipment
SEILER INSTRUMENT&MFG CO INC ICS
VENDOR 3433 TREE COURT INDUSTRIAL BLVD SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
ST LOUIS, MO 63122- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31639
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
FORM-APPROVED-BY-STATE-BOARD OF ACCOUNTS FOR THP 01T1 OP r.ARMFU-7009
Department: 1115 Fund: 101 General Fund
— Account 4341955 — — — — — — — — — — — — — — — — — —
3 Each Subscription-MAPS,�u* EIPT $50.00 �y$ 5 .0
12 Each Trimble Catalyst Deg3 0 r ' /'Per month $200.00 ' 2,%05.0
7
OFFICE OF CLERK-TREASURER Sub Total - $2,550.00
Account: 44-632.01
1 Each 110961-12 Cable,IN BAG $10.00 $10.00
1 Each 109219 Rover Rod, -flat top for threadless mounting $150.00 $150.00
1 Each 106695-00 Trimble Catalyst Antenna Packout $350.00 $350.00
. Sub Total . $510.00
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL•2009 1
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RECEIPT I -
Send Invoice To: ' ry .,,C1 'of Carmel "J 4 613 7
ICS !_ OF J 1'�'�'�i 'SURER ,)'
Timothy Renick a`j '
31 1st Avenue N.W.
a k _ „,-''Carmel, IN 4603.2-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $3,060.00
SHIPPING INSTRUCTIONS PART
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
*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 -. `f�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick \
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FORM RPARWED`BY S�Ik�PE BOIRO22 C9NTS FOR THE CITYCLERWRRAS U RER