52241 RUNYON EQUIPMENT RENTAL INDIANA RETAIL TAX EXEMPT I PAGE 1
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l CERTIFICATE NO.003120155 902 0
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City0. . .-...�... .. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT '
I 35-60000972 52241
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.ONE CHIC SQUART., 1
e THIS NUMBER MUST APPEAR ON INVOICES,AIP C¢yRh1E1 I.�hl�l+�flF E6932'z"$4 ? VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
1 FORM APPROVED BY STATE-BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 .--.-..--._----_-_.•._•.-------
PURCHASE ORDER DATE DATE REQUIRED 1 REQUISITION NO. .1. VENDOR NO. I DESCRIPTION
1/2/2019 12/04/18 18268 1 354867 AU terrain forklift rental for Bin Block deliveries
Runyon Equipment Rental Parks Maintenance
410 W Carmel Drive SHIP 1427 E. 116th Street ATTN:Courtney
VENDOR Carmel,IN 46032 SO Carmel,IN 46032
CONFIRMATION 1 BLANKET CONTRACT I PAYMENT TERMS 1 FREIGHT
I
QUANTITY I.-UNIT OF MEASURE.I . DESCRIPTION I UNIT PRICE j* EXTENSION
1.000 each 5500 lb 19'reach All terrain forklift rental 12/11/18 $250.0000 M $250.00
1.000 each Damage Waiver $25.0000 $25.00
GLAccount#1125401-4353099
Send Invoice To:
$275.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNTI. PROJECT PROJECT ACCOUNT AMOUNT
MYRRH
• AlP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52241 VENDOR COPY U-