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31279 Howard Wickersham C l t) of Carmel INDIANA RETAIL TAX EXEMPT PAGE 1111 - �CERTIFICATENO.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 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 1/21/2014 Howard Wickersham Street Department VENDOR SHIP 3400 W. 131st Street TO 14838 Rosebud Dr. Carmel, IN 46074- Noblesville, IN 46060- (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION 1 Each $54,400.00 $54,400.00 3A,1- C�'\1O'�dt - � 11 p) L9) \ e1•. tit .— : . F , , • Send Invoice To: , °" �© a Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Dept. 42-365.00 PAYMENT $54,400.00 • 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 CERTIFY THAT'THERE.IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP.REPAID. j � / I •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f� SHIPPING LABELS. /f [- •5 / -CA • ' •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE EQ JJJ/.S\\\ •/�-T/`�-��\ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q CLERK-TREASURER DOCUMENT CONTROL NO. 312 79 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE