102468 ECO-KINETIC Cityo INDIANA RETAIL TAX EXEMPT Page 1 of 1
®f IIiiriririie1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102468
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
12/28/2018 371686
ECO-KINETIC Street Department
VENDOR 6519 KENTLAND DRIVE SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
INDIANAPOLIS, IN 46237- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32443
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-500.80
1 Each Street Light Repairs/Parts $15,000.00 $15,000.00
Sub Total $15,000.00
r ak
' V s'} y �.
\5ry
ii a
s
Send Invoice To: ''
Street Department % w ,
3400 W. 131st Street
Carmel, IN 46074- ,„, � � �
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $15,000.00
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.RD _�
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL OC.-c.j...&rit414-22-"Tr--1
CiT— " —"'" —` �,�'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dave Huffman James Crider \A":3
TITLE Director Administration
CONTROL NO. 102468 CLERK-TREASURER