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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
38330
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
4/13/2015
04/14/15
4804
Replacement Sand Filter Media - Inlow Park
Spear Corp
P.O. Box 3
VENDOR Roachdale, IN 46172
SHIP
TO
MCC - West
1235 Central Park Drive East
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
1.000 each Replacement Sand Filter Media - Inlow Park $ 1,885.0000 $ 1,885.00
GLAccount# 1125300 - 4350000
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
$ 1,885.00
DEPARTMENT ACCOUNT
PROJECT
PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
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
AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
BIER REPAID. ES 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 Eric Mehl 11 tt- je(1, re y , L/ i L3 i S
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 "1 ^ -""`
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 38330
TITLE
CLERK - TREASURER
VENDOR C: OI..' ✓