26286 Carmel WeldingCi
of Carmel.
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO- 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRN
Carmel Welding and Supply
SHIP
TO
Street Department
CCNFIBMATION
BLANKET
CONTRACT
PAYMENT TERMS
344X) W 131St StleetFRE1GHT
550 S.
Rangeline
Road
Carmel, IN 46074
QUANTITY cmHWlie1V€AL7 12
Account 2201- 635.00
1 Each mower
Send Invoice To:
7 C - 0 - ! • 11 - 1
DEPARTMENT
3404) VV. 999 st 5 reet
Carmel, IN 46074-
DESCRIPTION
(317)733 - {w1 UNIT PRICE , I EXTENSION
PLEASE INVOICE IN DUPLICATE
ACCOUNT
SHIPPING INSTRUCTIONS -
• SHIP REPAID.
• anzrnit reetnaleedes>ento
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. •
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1995
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26286
$4.200.00
Sub Total:
PROJECT • PROJECT ACCOUNT
ORDERED BY
TITLE
- CLERK- TREASURER
OFFICE COPY
$4.290.00
$4.200.00
AMOUNT.
PAYMENT
• NP VOUCH ER CANNOT DE APPROVED FOR PAYMENT UNLESS THE PO.
_ NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED, •
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEO BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
`-166. Yl.fl,C_Q g 'LOa t_, tca _ $4,290.D0.-
Lt tL+ l ,r _ 44,kcc iQ z_i�t