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103254 MSDS ONLINE, INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1 Chitof Caririnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 103254 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 11/15/2019 371283 MSDS ONLINE, INC. Street Department VENDOR 27185 NETWORK PLACE SHIP 3400 W. 131st Street TO Carmel, IN 46074- CHICAGO, IL 60673=-1271 (317)733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 41582 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department:.2201 Fund: 2201 Motor Vehicle Highway FND Account: 43-430.02 • 1 Each MSDS.Online Account $5,647.00 $5,647.00 Sub Total $5,647.00 L 1 fF �. .. Send Invoice To: `.. �,, � ao Street Department 3400 W. 131st Street " Carmel, IN 46074- (317)733-2001 PLEASE INVOICE IN DUPLICATE DEPARTMENT H ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $5,647.00 SHIPPING INSTRUCTIONS •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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY r-y(/ Dave Huffman James Crider TITLE Director Administration CONTROL NO. 1 03254 CLERK-TREASURER