HomeMy WebLinkAbout41372 RV PARK SUPPLIES DBA WILD FLOWER MEADOWS LLC DIANA RETAI
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� l O1 CERTIFICATE L00312a1330020 PAGE 1
FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER41372
3540000972
ONE CIVIC SQUARE
CARMEL,NOIANA 460W-26U THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER DELNERY MEMO.PACKING SLPS,
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
4/13/2017 04/17/17 12165 3(0q 877 Dog liter bags for Parks
RV Park Supplies(Wild Flower Meadows LLC) Parks Maintenance
14113 NE Airport Dr.Ste 101 1427 E. 116th Street ATT N:Courtney
VENDOR Vancouver WA98684 SHIP Carmel,IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
3.000 each Dogipot litter bags 30pk $174.0000 $522.00
3.000 each Shipping $23.0000 $69.00
GLAccount#1125401-4238900
Send Invoice To:
$591.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT J ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
P.O.NUSIBER IS MADE
PART OF THE VOUCHER AND CANNOT BEAPPEVERY INVOICE AND ROVED VOUCHER HASFOR PAYMET UNLESSBTHE PROPER SWORN A
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICB]IT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ACTS 1946
AND ACTS
AMENDATORISSUED IN Y THEREOF AND SUPPLEMENTPLIANCE WITH CHAPTER THERETO.
TITLE
CLERK-TREASURER ���
DOCUMENT CONTROL NO. 41372 VENDOR COPY