HomeMy WebLinkAbout38527 Delello & Sons Paving C INDIANA RETAIL_TAX EXEMPT PAGE 1
l CERTIFICATE NO.003120155 002 0
-. f°} __ -_- _ _ PURCHASL ORDE12 NUMBER
f � A FEDERAL.EXCISE TAX EXEMPT— J 3527
35-60000972
_ TPIIS NUMBER MUST APPEAR ON INVOICES,AIP
__ .-- -- VOUCHER,DEL VERY MEMO,PACKING SLIPS,
;I 11 PPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE I30AIZD OF ACCOUNTS FOR CITY OF CARMEL-1997
___------
PURCHASE CRIDER DATE I DATE REOUINED REQUISITION NO. VENDOR NO DESCRIPTION
5/15/2015 05/20/15 5277 Additional asphalt repairs al West Park
Delello& sons Asphalt Paving Parks Maintenance
17306 Westfield Park Road 1427 E. 116th Street ATTN: Courtney
VENDOR Westfield, IN 46074 SHIP Carmel, IN 46032
TO
CONFEMAIION I31.ARK 0 CONIRACI PAYMENT TERMS __-- _-_---_ FI2E:NCH! J -_
QUANTITY f UNIT OF MEASURE i DESCRIPTION —__ -__-i UNIT PUCE i EXTENSION
1.000 each Additional patching of 54sgfl. of asphalt repair $ 297.0000 $ 297.00
GLAccountlt 1125419-4350400
Send Invoice To.
$ 297.00
PLEASE INVOICE IN DUPLICATE
DEpARII,41:Ni I —_—'iCCOUtJTT--- _. _ PROJIECI ------. I- `.._I'R0JEC 1 ACCOUNI AMO UN'1 -- --
PAYMENT
AIP VOUCHER CANNOT 135 APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE'A
SARI OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS'INE PROPER SWORN
SHIPPING INSTRUCTIONS AFI"IDAV I Al TACHED.
. I HEREBY CER1lFY 511AT 0IERE 15 AN UNOBLIGATUI)BALANCE IN THIS APPROPRIATION
• SI ill'R4.1'A10 SUFFICIENT To PAY FOR 111E ABOVE ORDER.
, 0.01)SI III'N11EN 15 CANNOT PE ACCTJ'IL D.
• PUkcHA51=ORDER NUM13P1+MUS1'APPLAi ON ALL SIEA'T'ING LABELS. ORDE=RED BY Courtney Weintraut _ ii� .
I
11IIS ORDER ISSUI:I)IN COMPI_I/+NCF!n)I I hl CIIAI'TLF!99,ACI S 36'15
ANb ACTS AMEN'DA I ORY IHEREor ANUSUPPLESION I.I I IERE I O
TITLE
CLCRK-TREASURER
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DOCUMENT CONTROL NO. 38527