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HomeMy WebLinkAbout38344 Delello & Sons Asphalt Paving-i Citv of Carme. 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 38344 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 4/14/2015 04/18/15 4830 Entrance drive repairs at West Park & Central Park Delello & sons Asphalt Paving 17306 Westfield Park Road VENDOR Westfield, IN 46074 SHIP TO Parks Maintenance 1427 E. 116th Street ATTN: Courtney Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1.000 each 1.000 each Send Invoice To: Remove and replace 5 asphalt patches along the entrance road at West Park. $ 3,902.0000 $ 3,902.00 Repair to pot holes around the roundabout east of College Ave $ 1,200.0000 $ 1,200.00 bridge. GLAccount# 1125419-4350400 PLEASE INVOICE IN DUPLICATE $ 5,102.00 DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT SHIPPING INSTRUCTIONS SHIP REPAID. C.O.D SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. 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 SUFFICIENT TO PAY FOR THE ABOVE ORDER. ORDERED BY Courtney Weintraut TITLE CLERK - TREASURER DOCUMENT CONTROL NO. 38344 VE I ,;.- %I'° • t-kkk