HomeMy WebLinkAbout39086 Delello & SonsCity of Carmel
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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
39086
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE I DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/21/2015
09/23/15
6614
Hagan Burke asphalt repair to where a tree roots are breaking
through.
Delello & sons Asphalt Paving
17306 Westfield Park Road
VENDOR Westfield, IN 46074
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
1.000
Send Invoice To:
UNIT OF MEASURE
each
DESCRIPTION
UNIT PRICE
EXTENSION
Cut, remove tree roots and apply 4" of new asphalt to HBG $ 1,500.0000
near Rangeline Road.
GLAccount# 1125409-4350400
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.0.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. 39086
$ 1,500.00
$ 1,500.00
PROJECT ACCOUNT AMOUNT
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.
1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Courtney Weintrautu F\c-1/4-v (Lj
TITLE
CLERK -TREASURER
VENDOR COPY