HomeMy WebLinkAbout39019 Brick and MortarCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
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,,35-600009 "72T
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
SEP 0 1 2015
PAGE 1
PURCHASE ORDER NUMBER
39019
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS ANO ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/1/2015
09/05/15
6454
Concrete pad and bollard installation at the AO entrance gate
Brick and Mortar Solutions, LLC
20918 Overdorf Rd.
VENDOR Noblesville, IN 4662
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
Send Invoice To:
each
Installation of concrete pads and bollards at key scanner gate $ 765.5000
entrance.
GLAccount# 1125401-4350000
PLEASE INVOICE IN DUPLICATE
$ 765.50
$ 765.50
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 ANDSUPPLEMENT THERETO.
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C. 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 Courtney Weintraut CC�%�.�\' � Ct LA 5
TITLE
CLERK -TREASURER
DOCUMENT CONTROL NO. 39019 VENDOR COPY