36539 Carmel Welding INDIANA RETAIL TAX EXEMPT PAGE 1
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City of Carmel CERTIFICATE N0.0031201550020
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36539
35-60000972
_L:-I 16-!...-. ...- 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
1/13/2014 01/15/14 308 05/000 Motor for salt spreader
Carmel Welding .- -T r c T:° '; I Parks Maintenance
550 S Rangeline Rd i 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 \ JAt.i sHIP Carmel, IN 46032
1 I I)l A
CONFIRMATION BLANKET CONTRACT LS-'�_ PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each New motor for the Sno-Way V-Box Salt Spreader $ 767.39 $ 767.39
1.000 each Freight $ 30.00 $ 30.00
GLAccount# 1125413-4237000
Send Invoice To:
$ 797.39
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT ' 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 ( Th,_ t 3 ILI
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36539 VENDOR 001,.'!