31853 The Klink Group Ci� ®f C Carmel. INDIANA RETAIL TAX EXEMPT 155 00 PAGE
1111 JIII I`�./ ',:rtCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31853
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
I
PURCHASE ORDER DATE DATE REOUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/30/2014
The Klink Group Street Department
VENDOR SHIP 3400 W. 131st Street
3320 W 800 S. PO Box 428 TO Carmel, IN 46074
Ashley, IN 46705 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0042-365.00
A Each Salt $182,000.00 $182,000.00
Sub Total: $182,000.00
i ve, , :42 4
' ,I * : a ki A:t. ‘,,
•
• 11.1ki*VI% W ...+ 4
o Jfj
Send Invoice To:
•
Street Department
3400 W. 131st Street
Carmel, IN 46074-. '
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Carmel Street Department • PAYMENT $182,000.00
• 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 CERTIFY,TI4) THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION 9UFF,ICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. 4 f ,
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
/
1(174:11 A ,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �,Yf--Ate'.'^
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK-TREASURER
DOCUMENT CONTROL NO. 31853 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE