36588 Carmel Welding Katy of Carmel. CERDTIIFCATENOL 0 TAX EXEMPT 03120155 0020 IPUREI
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36588
35-60000972
..•_CF:9C S: J-
SCLL,:J_1 1;1:-::'I'D,-2:•;.= 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
1/28/2014 02/01/14 458 057oo Kubota RTV 900 snow plow welding repair
Carmel Welding Parks Maintenance
550 S Rangeline Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
1.000 each Welding repairs to Kubota RTV 900 snow plow $400.00 $400.00
GLAccount# 1125401-4350000
Send Invoice To:
$400.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT I AMOUNT
C -♦
7FD PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
JAN 28 PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS 2014 AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. BY: 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 cat,talACA ' •s:DE.. t(2-%11,--1
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36588 VENDOR COPY