26322 Cargill, Inc. A ,INDIANA RETAIL TAX EXEMPT PAGE
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c�� �� { '��`'GEAIFICATEN0.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26322
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
12/18/2012
Cargill, Inc. Street Department
VENDOR SHIP 3400 W.131st Street
P. O. Box 415927 TO Carmel, IN 46074
Boston, MA 02241-5927 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
Account 0042-365.00
1 Each salt $106,000.00 $106,000.00
Sub Total: $106,000.00
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Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT ;, PROJECT ACCOUNT AMOUNT
v
Carmel Street Department PAYMENT'° $106,000.00
• 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 THA'II RE-IS•AN UNOBLIGATE9?BALANCE IN
THIS APPROPRIATIO I T TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. 1/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. - . 6
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I/'1
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
°`DOCUMENT.C.ONTROL NO. 2 OFFICE COPY