HomeMy WebLinkAbout37975 Landscape StructuresCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
37975
THIS NUMBER MUST APPEAR ON INVOICES. A/P
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
1/14/2015
01/18/15
3944
Swing Replacement Parts - Carey Grove
Landscape Structures Inc.
601 7th Street South
VENDOR Delano, MN 55328
CONFIRMATION
BLANKET CONTRACT
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
6.000 each Belt Seats $ 68.0000 $ 408.00
6.000 each SST Bolt Link w /Bolts for Tendertuff Chains #132825 $ 24.0000 $ 144.00
1.000 each Shipping Charges $ 65.0000 $ 65.00
GLAccount# 1125403-4237000
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
C.0 D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 19•S
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 37975
$ 617.00
PROJECT
PROJECT ACCOUNT
AMOUNT
PAYMENT
AIP 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,
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEO BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER,
ORDERED BY
TITLE
CLERK - TREASURER
VENDOR COPY
Dawn Koepper : i . vpt,_,r_4,, I \ ( 4 f 5