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City of Cannel
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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
39008
THIS NUMBER MUST APPEAR ON INVOICES. A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
8/2612015
08/31/15
6424
Expression swing for West Park playground
GameTime c/o Sinclair Recrea ion
128 East Lakewood Blvd Suite 40
VENDOR Holland, MI 49424
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
1.000
1.000
Send Invoice To:
UNIT OF MEASURE
each
each
DESCRIPTION
5145 - Expression swing 5" x 8'
Freight
GLAccount# 1125101-4463600
UNIT PRICE
EXTENSION
$ 995.0000
$ 995.00
$ 202.7500 $ 202.75
PLEASE INVOICE IN DUPLICATE
$ 1,197.75
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. GOD 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.
DOCUMENT CONTROL NO. 39008
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
VENDOR COPY
1