HomeMy WebLinkAbout41337 SEWER OR SEPTIC SERVICES, INC. 4'tjg )
INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE N0.003120155 002 0o f Carmel PURCHASE ORDER NUMBER
City FEDERAL EXCISE TAX EXEMPT 41337
35-60000972ONE CMC S01114R°
CARMEL,IN--WIIA 4rW-2-Z-C 34 THIS NUMBER MUST APPEAR ON INVOICES.NP
VOUCHER,DELIVERY MEMO,PACMNG SUPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
r4ew Vencior
4/6/2017 03/27/17 11978 (W-9 attached) lift station pump service 8 replacement for Dog Park Rash wms
Sewer or Septic Services,Inc. Parks Maintenance
17220 Harger CL 1427 E. 118th Street ATTN:Courtney
VENDOR Noblesville,IN 46060 TOP Cannel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTnY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Labor to service and install replacement pump $438.2500 $438.25
1.000 each E820 Grinder Pump-onAuto 2HP 230v Pump $1,673.0000 $1,673.00
GLAc count#1125404-4350100
Send Invoice To:
$2,111.25
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT r PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
ATP VOUCHER CANNOT BE APPROVED FOR PAYMENT WNL FSS THE P.D.NUMBER N MADE A
PMT OF THE VOUCHER AND EVERY WMIC 1 AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE 16 AN UNOBLKATED BALANCE IN THIS APYROPRATION
• SHIP REPAID. SUFFICIENT TO PAY POR THE ABOVE ORDER.
C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUSTAPPEM ON ALL SHIPPING LA88.8. ORDERED 8Y Michael Allen
THIS DREIER ISSUED N CONPL ANCE WITH CHAPTER W,ACTS 1048
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 41337 `:';r O't:C?Y \