HomeMy WebLinkAbout41379 HOOSIER PORTABLE RESTROOMS INC INDIANA RETAIL TAX EXEMPT PAGE 1
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Carmel CERTIFICATE NO. 002 0
City FEDERAL EXCISE TAX EXEMPT 41379
35-60000972
ONE CAVI:SGilAi E
.�.APJJEL 14'w:IAt110'_ZE44 THIS NUMBER MUST APPEAR ONINVOICES,NP
VOUCHER DEUVERY MEMO.PACKING SLIPS,
SHIPPING LABELS AND ANY OORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/14/2017 04/18/17 12174 354857 Portalet resirooms for Hazel Landing and Meadowlark Park's
2017 Season
Hoosier Portable Restrooms Inc Parks Maintenance
2201 E 99th Street SHIP 1427 E. 116th Street ATTN:Courtney
VENDOR Indianapolis,IN 46280 TO Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
22.000 each Rentalcleaning of EAU enhanced portalet for Hazel Landing $40.0000 $880.00
(mid-May thru mid-October-22weeks)
GlAccount#1125410-4350400
22.000 each Rental/cleaning of EAU enhanced portalet for Meadowlark $40.0000 $880.00
Park(mid-May thru mid-October-22weeks)
GLAccount#1125414-4350400
Send Invoice To:
$1,760.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBUOATEO BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.OA SHFMUNTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANTS WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF APD SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
V_'IDO i COPY X4‘1 \.DOCUMENT CONTROL NO. 41379