102413 CARMEL WELSING & SUPPLY INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102413
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
12/14/2018 051000
CARMEL WELDING&SUPP INC Dept of Community Service
VENDOR 550 S. RANGELINE RD SHIP 1 Civic Square
TO Carmel, IN 46032
CARMEL, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32200
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 42-380.00
1 Each Small Tools and Repair $40.75 $40.75
Sub Total $40.75
Send Invoice To: r _.S_=ate', .
Dept of Community Service
1 Civic Square
F
Carmel, IN 46032- et,,,i-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT E ACCOUNT I PROJECT V PROJECT ACCOUNT AMOUNT
PAYMENT $40.75
SHIPPING INSTRUCTIONS *NPVOUCHER 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 f7 5.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ���
Mike Hollibaugh
TITLE Director \
CONTROL NO. 102413 CLERK-TREASURER