HomeMy WebLinkAbout38049 Irving Materials Inc INDIANA RETAIL TAX EXEMPT PAGE 1
City C ,� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
F EDERAL EXCISE TAX EXEMPT 38049
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,NA
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
2/4/2015 02109/15 4134 Triaxle of 53's for Maintenance Parking Lot&West Trail repairs
IMl Irving Materials Inc Parks Maintenance
P.O. Box 7048 Group#2 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46207-7048 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPThON I UNIT PRICE I EXTENSION
3.000 each triaxle of 53's Stone- Park Maintenance Parking Lot&West $ 260.0000 $780.00
Trail Repairs
3.000 each Approximate Delivery Fee $ 86.0000 $258.00
GLAccount# 1125401-4236000
Send Invoice To:
$ 1,038.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT J 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SI IIP 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 Dawn Koepper �-� 1 `
- THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38049 VENDOR C'`�)P