30613 Cargill Salt ;Q p. r INDIANA RETAIL TAX EXEMPT (PAGE
16 t 7 of y i i CERTIFICATE NO. 003120155 002 0 pUP.CI LASE OP.DEH NUA36ER
4`� I! ({..LS g J� J� FEDERAL EXCISE TAX EXEMPT 30613
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AiP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LAPELS 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
3/29/12 M000684 00351c 3(0 Road Salt
Cargill Maint. R a s E R i
P.O. Box 98220 SHIP
VENDOR Chicago, IL 60693 -8220 TO MAR 3 0 2012
Syr.
CO lRNenpn l BLANKET CONTRACT 1 PAYMENT TERMS 1 FREIGHT
1
QUANTITY 1 UNIT OF MEASURE' DESCRIPT ION UNIT PRICE EXTENSION
24 ton Clearlane Salt Road salt 72.77 1,746.48
/jrO J
4 /12,1
I
1
i
R e i:' r ''yJ'a r
h
e
Send Invoice To:
1,746.48
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1125 -4 -01- 4236500 Salt Calcium PAYMENT
A'P VOUCHER CANNOT BE APPROARD FOE PAYMENT UNLESS THE P.O
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SAVOR: AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS IN UNOSLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER
SHIP REPAID
C.O.D. SHIPMENTS CANNOT BE_ ACCEPTED ORDERED BY Todd Snyder c e'
PURCHASE ORDER NUMBER I. APPEAR ON ALL
P� er
SHIPPING LADELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT TRERE10
30613 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY