26326 City of Carmel CitY ,n INDIANA RETAIL TAX EXEMPT PAGE
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�����//// 1L PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 26326
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
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'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.r DESCRIPTION
12/19/2012
,Public-Finance:Com._ 1 Street Department
SHIP W. 131st Street
VENDOR 3400
IV* CiA-09/1\ TO
11-00-E-East Hospital-Road- yl Carmel, IN 46074
[ankl+n;fN-4 3b`1 1 (317) 733-2001
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE -DESCRIPTION UNIT PRICE EXTENSION
Account 0043-530.99
1 Each sweeper lease payment . $50,000.00 $50,000.00 ,
Sub Total: $50,000.00
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Send Invoice To: I ;li,
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Street Department
3400 W.131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $50,000.00
• NP 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 CERTIFHAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP• • 10N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID - /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • Of , /i�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /f ', �
SHIPPING LABELS. [/ .
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �O /✓. Y)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
CLERK-TREASURER
'DOCUMENT CONTROL NO. OFFICE COPY