29290 Cargill, Inc. *c INIANA I° 0 Car me CERTIFICATE NO.03120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29290
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/18/12 N/A 00351981 Road Salt
Cargill, Inc. Maint CFT\TFD
VENDOR P. 0• Box 9722D SHIP DEC 1 8 2012
c,(A,-C Asv, IL (00(93 TO
13Y
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
1 EA Road Salt $2,960.00 $2,960.00
I
ty is —
Send Invoice To
PLEASE INVOICE IN DUPLICATE $2,960.00
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
1125-4-01-4236500-Calcium & Salt PAYMENT
• AP VOUCHER CANNOT BE APPROV:D FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzing - DK (�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALLt.,l�,•IJI�.k-'��� Z 11
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE • ""`4 t it F1 2..,11.__
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /PP'29290 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY '