HomeMy WebLinkAbout38401 Hososier Portable RestroomsCity 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
38401
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
4/27/2015
04/29/15
4962
Portalet restrooms for Hazel Landing and Meadowlark Park's
Hoosier Portable Restrooms Inc
2201 E 99th Street
VENDOR Indianapolis, IN 46280
CONFIRMATION
BLANKS
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY f UNIT OF MEASURE, DESCRIPTION
22.000 each Rental /cleaning of EAU enhanced portalet for Hazel Landing
(mid -May thru mid - October - 22weeks)
GLAccount# 1125410 - 4350400
UNIT PRICE EXTENSION
$ 40.0000 $ 880.00
22.000 each Rental /cleaning of EAU enhanced portalet for Meadowlark $ 40.0000 $ 880.00
Park (mid -May thru mid - October - 22weeks)
Send Invoice To:
GLAccount# 1125414 - 4350400
PLEASE INVOICE IN DUPLICATE
$ 1,760.00
DEPARTMENT ACCOUNT PROJECT PROJECIAC000NT AMOUNT
SHIPPING INSTRUCTIONS
• SI'lIP 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 TI IEREOF 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. 38401 VENDOR COPY
kf 7(; 4/2 7/15-