HomeMy WebLinkAbout39114 Miracle Recreation EquipmentCity of -Carmel
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
39114
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER. DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE 'REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/30/2015
10/04/15
6692
Repair part for West Park playground piece
Miracle Recreation Equipment C
9020 Paysphere Circle
VENDOR Chicago, IL 60674
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
I.NKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
UNIT PRICE 1 EXTENSION
1.000 each Bushing repair kit for pondo play unit at West Park playground $ 316.0000
1.000 each Shipping Charge $ 10.0000
1.000 each Discount $ -32.0000
GLAccount# 1125419-4237000
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
C 0.0 SHIPMENIS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 19.15
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 39114
$ 316.00
$ 10.00
$ -32.00
$ 294.00
PROJECT ACCOUNT
AMOUNT
PAYMENT
AIP 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 ARACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Courtney WeintrautGlx-.Lc
TITLE
CLERK -TREASURER
VENDOR COPY