26316 T.M.T. Inc. INDIANA RETAIL TAX EXEMPT
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.14''..k" �`111'CERTIFICATE NO.003120155 002 0
City ®f � rme PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26316
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/13/2012 .
T. M.T. Inc Street Department
VENDOR SHIP 3400 W. 131st Street
TO Carmel, IN 46074
1719 W. 161st Street
Westfield, IN 46074 (317) 733-2001
CONFIRMATION SAL{WKtyiIBMTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-504.00
1 Each plant replacements $786.00 $786.00
Sub Total: • $786.00
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Send Invoice To:
'''41r"461r#---' M------ 0 '
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $786.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ('` I n Y i
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY a J,��,�y(� "/��i ( la-A---.--/
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _ k1,to A. I ,!✓1/ lj,k n X f JL Q 649, ,
(AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I` -
CLERK-TREASURER
DOCUMENT CONTROL NO. 26316 OFFICE COPY .