36551 Cargill INDIANA RETAIL TAX EXEMPT PAGE 1
City of Carmel CERTIFICATE N0.0031201550020
PURCHASE ORDER NUMBER
FEDERAL EXCISE 7AX EXEMPT 36551
35-60000972
1EL .-i-U- -...---..- THIS NUMBER MUST APPEAR ON INVOICES,NP
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
1/16/2014 01/20/14 360 0035/91870 Road Salt
Cargill Incorporated "`" Parks Maintenance
P.O. Box 98220 „�j1� 1 6 2014 1427 E. 116th Street ATTN: Courtney
VENDOR Chicago, IL 60693-8220 ToIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
25.000 ton clearlane road salt $ 72.77 $ 1,819.25
GLAccount# 1125401-4236500
Send Invoice To:
$ 1,819.25
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. //
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel catt,,K1) ,'),"l. l I /Rd/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 ,�LN/ h
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36551 CO Pc