30614 Bobcat of Indy a r INDIANA RETAIL TAX EXEMPT !PAGE
Cis' t L 7 or Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30614
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY IAEMO, PACKING AI.IPS,
CARMEL. INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED 1 REQUISITION NO VENDOR NO T DESCRIPTION
3/29/12 M000687 003505y7 Repair maintenance Bobcat broom
Bobcat of Indy Maint. O J �iV
2935 Bluff Road SHIP
VENDOR Indianapolis, IN 46225 TO
MAR Q� 2011
BY'
COIIDImMVO.+ BLANKET CONTRACT PAYMENT TERMS I FREIGHT
i
CUANTITY UNIT OF MEASURE) DESCRIPTION UNIT PRICE EXTENSION
See attached requisition for complete breakdown of 1,741.69 1,741.69
repairs
f
f t j1
tf
FA
t
f
r
F
Send Invoice To
1,741.69
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT_
1125 -4 -01- 4350000 Equipment Repairs Maint PAYMENT
AIR VOUCHER CANNOT BE APPROV' "D FOR PAYMENT UNLESS THE P.C
NUMBER IS MANE A FART OP THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SVJOR: AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS IN UNOSL IGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TJ PAY FOR THE ABOVE ORDER
SHIP BEPAID Todd Snyder 2
C OD. S CANNOT DEAC,CEPTED. ORDERED BY 3 4:11
PURCHASE ORDER NUMBER IAUST APPEAR ON ALL
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS :945 TITLE
1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
30614 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COP