HomeMy WebLinkAbout41355 HUNGER SKATEPARKS LLC rI►
INDIANA RETAIL TAX EXEMPT I PAGE 1
I CERTIFICATE NO,003120155 002 0 PURCHASE ORDER NUMBER
I
of
City
Carmel FEDERAL EXCISE TAX EXEMPT 41355
35-50000972
OUF CIVIC SOJ+-RF. THIS RUINER wsrnPPFi�R ON INVOICES.NPC,1�1 L.! �Wi if.s?G E=4 VOUCHER.DELIVERY MEMO,PACING EI.PS.
SLAPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
DESCRIPTION PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. _____-
4/11/2017 04/12/17 12134 368336 Skatepark Repairs 2017
Hunger Skateparks LLC Administration Office
7438 Lampklns Ridge Road 1411 E.116th Street
VENDOR Bloomington,IN 47401 SHIP Cannel,IN 46032TO
CONFIRMATION BLANKET CONTRACT
PAYMENT TERMS FREIGHT
QUANTITY !UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each Skatepark Repairs per Engagement Letter 2017 $2,500.0000 $2,500.00
GLAccount#1125404-4350400
Send Invoice To:
$2,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT
PROJECT I PROJECT ACCOUNT I AMOUNT .................
PAYMENT _
• AR VOUCHER CANNOT BE APPROVED
PART OF THE VOUCHER AID EVERY INVVOICE AND VOUCHER HAS PAYMENT UNLESS THOR THE P.O.RtROPER SWORN A
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• ISVRERFRG�EVLACERTIFY
T TO PAY FOR THE ABOVE ORDER TED BALANCE M THIS APPROPRIATION
• SWREPAID.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NL*RIER MUST APPEAR ON AU.SHIPPING ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE VATH CHAPTER 09,ACTS
AND ACTS AMENDATORY THEREOF IVO SUPPLEMENT THERETO.1045 TITLE
CLERK-TREASURER C\
DOCUMENT CONTROL NO. 41355 VENC21 COi=Y `\