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31852 Terex Services
.LC i 1111� PAGE "nCERTIFICATEINO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31852 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 ,1/23/2014 Terex Services Street Department VENDOR SHIP 3400 W. 131st Street TO 2650 Roosevelt Ave. Carmel, IN 46074 Indianapolis, IN 46218 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0043-501.00 1 Each Inspection $309.00 $309.00 Sub Total: $309.00 ii" i(9 lie I . : O ‘1111111k17 .• Send Invoice To: 0 M © j` Street Department 3400 W. 131st Street • Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $309.00 • 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 THIS/APPROPRIATION SUFFICIENT To/PAY FOR THE ABOVE ORDER. • SHIP REPAID. 1 .. Sit"--• CD.D.SHIPMENTS CANNOT BE ACCEPTED. ( -'1 •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY '�' i SHIPPING LABELS. '// �^. r •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE J ill < (/I 44/.<J i`/ / r r AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 318 52 CLERK-TREASURER A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE