HomeMy WebLinkAbout38236 Dellello & Sons Paving I ^ INDIANA RETAIL TAX EXEMPT PAGE 1
City '/"'�'�y CERTIFICATE NO.003120155 002 0� 1. 1 B -=_------ --_=.—� -- PURCHASE IRR E 11 �� l� 11 1 1 w FEDERAL EXCISE TAX EXEMPT 38236
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES.NI'
VOUCHER,DELIVERY MEMO.PACKING SLIPS,
SHIPPING LAPELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE NEDUlRE_D REQUISITION ND. VENDOR NO. DESCRIPTION
3120/2015 03/24115 4578 Hazel landing entry road repairs
Delelto& sons Asphalt Paving Parks Maintenance
17306 Westfield Park Road 1427 E. 116th Street ATTN: Courtney
VENDOR Westfield, IN 46074 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT I PAYMEfdI ILHMS I-RRIGH
QUANTITY I Urn OF MIcASUf2E-I _- DESCRIPTION -� UNIT PRICE A EXTENSION
1.000 each Grading and compaction of the Hazel Landing entrance drive. $ 3,340.0000 $ 3,340.00
($2100 for grade/roll, with upto 80 tons of new stone NTE
$1,240)
GLAccount/ 1125401-4350400
Send Invoice To:
$ 3,340.00
PLEASE INVOICE IN DUPLICATE
)EPAHTMVNI— ACCOUNT PROJECT PROJECT ACCOUNP _f AMOUNT
PAYMENT
• AP VOUCHER CANNOT RE 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 UNORLIGATED BALANCE IN THIS APPROPRIATION
• STEP HIEPAID SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.0.1)SI IIPMFN I Si CANNOT BE ACCI:I'TED.
• PURCIIASIE ORDER NUMBER MUST APPEAR ON Al I.STOPPING LABELS. ORDERED BY Courtney Weintraut
• -THIS ORDER ISSUED IN COMPLIANCE WWI CI-IAINER 99,ACTS 1915
AND ACTS AMENDA I ORY I I IIEREOF ANUSUPPLEMFN Crl-ISHETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38236