26304 Cargill, Inc. .r _
•®� Carmel INDIANA RETAIL TAX EXEMPT PAGE
Imo/1111 11r1" CERTIFICATE NO.003120155 002 0 !
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT .
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VO CHO VERY MEMO, PACKING SLIPS,
SHI PPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 1
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I
1 10/112012
VENDOR SHIP
Cargill, Inc. TO Street Department
3400 W. 131st Street
P. 0. Box 415:127 C:rrocl, I'." X74
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Boston; MA.0241-6927 (317)733-2001
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
AccountA042 -00
w: .
7000 Each ''salt $72.77 $509.390.00 '
Sub Total: $509.390.00
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Send Invoice To
Street Department
• 3400 W 131st Street PLEASE INVOICE IN DUPLICATE
DEPAA vow IN 46074- ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
Carmel StrPP VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACH 390 0
SHIFPT�PVC 1NSIRUCTIONS • I HEREBY CYpITI Y THAT THERE IS AN UNOBLIGATED BALANCE}IN
•SHIP REPAID.
THIS APP•E•RI' ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
le
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •••• • '
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL '
SHIPPING LABELS. )e 441.....................;
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 • TITLE / vl,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
26 2® q CLERK-TREASURER
DOCUMENT CONTROL NO. `�¢ OFFICE COPY