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FORM APPROVED BY STATE BOARD OF-ACCOUNTS'FORCITY. OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
J I FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE 1
PURCHASE ORDER NUMBER
39017
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER. DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
8/31/2015
09/01/15
6441
Paver repair at West Park restrooms
Brick and Mortar Solutions, LLC
20918 Overdorf Rd.
VENDOR Noblesville, IN 4662
SH1P
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
1.000
Send Invoice To:
UNIT OF MEASURE
each
DESCRIPTION
Remove and replace broken pavers at the West Park restroom
Price includes Pressure washing option
GLAccount#1125419-4350400
PLEASE INVOICE IN DUPLICATE
UNIT PRICE
EXTENSION
$ 1,279.0000 $ 1,279.00
$ 1,279.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
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 AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 39017
PAYMENT
Alf. VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER 15 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
TITLE
CLERK -TREASURER
VENDOR COPY
Courtney Weintraut
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