26270 Cargill Q,,� INDIANA RETAIL TAX EXEMPT
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I' \�T I of Carmel rme CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APP9MN NVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER. DELIVERY MEEM6- PKCKING 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
113112012
t
VENDOR SHIP Street Department
Cargill, Inc. TO p
3400 W.131st Street
P n Rnx 415927 Carmel, IN 46074
CONFIRMATION BLANKET CONTRACT TERMS
n FR T
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 0042365.00
1 3700 Each salt $72.77 $269,245
Sub Total:'' $269,241
O f 7G��!1I
j 0 7Gil 4
MI
3 34' SO
Send Invoice To: M
Street Department
3400 W. 131ststreet INVOICE IN DUPLICATE
DEPARTMENT —4 )§2MONT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P
NUMBER IS MADE A PART CF THE VOUCHER AND EVERY INVOICE AND $269,240
Carmel Street Department VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY SNAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT ON SUFFICI NT TO PAY FOR TH• ABOVE ORDER.
SHIP REPAID.
CO.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 1
r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 26270 OFFICE COPY