HomeMy WebLinkAbout50044 MIRACLE RECREATION EQUIPMENT COMPANY NIL
I INDIANA L TAX EXEMPT li PAGE 1
It CERTIFICATERETAIN0.003120155002 0 PURCHASES ORDER NUMBER
1...,;ity of
{,{ � FEDERAL EXCISE TAX EXEMPT 5Q044
35-60000972
ONE CMC SQUI AR.1 THIS NUMBER MUST APPEAR ON INVOICES.NP
{Pi1rZUE; iJO:JlF.t?0 2`d VOUCHER, iS S,
SHIPPING LABELS ANDANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1897
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.
DESCRIPTION
716/2017 07/10117 • .: . . 13222 353472 Playground repair parts
Miracle Recreation Equipment C Parks Maintenance
PO Box 204757sI1IP Cannel,IN 46032 1427 E. 116th Street ATTN:Courtney
VENDOR Dallas,TX 75320-4757 TO
FREIGHT
CONFIRMATION BLANKE=T 1 CONTRACT 1 PAYMENT TERMS I
QUANTITY I UNIT OF MEASURE
DESCRIPTION j UNIT PRICE I EXTENSION
2.000 each #990966P Beige-5"OD Versalok Clamp Complete $18.5700 $37.14
1.000 each #985445P Forest Green-Bottom Rail for Vertical Climbing $85.0000 $85.00
Wall
2.000 each
#985447P Forest Green-Side Rail for Vertical Climbing Wall $130.0000 260.00
16.000 each #104052 Bolts
$0.8300 $13.28
22.000 each #117005 Washers $0.2000 $4.40
6.000 each #104921 Bolts
$1.4200 $8.52
16.000 each #104496 Nuts $2.0200 $32.32
1.000 each #115208P Forest Green Touch up paint $18.5800 $18.58
1.000 each
Freight $163.4300 $163.43
GLAc count#1125403-4239000
2.000 each
#103538YLW-2.5"Plug $2.4300 $4.86
1.000 each
#985415RED-Top Stair Enclosure Red $64.0000 $64.00
1.000 each #115208RED-Touch up paint
$18.5800 $18.58
GLACcount#1125414-4239000
Send Invoice To:
$710.11
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT
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 NAS THE PROPER SWORN
AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS ,
I HEREBY CERTIFY ThAT THERE N AN UNOSLIBATSO BALANCE VI THIS APPROPRIATiON
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
.
C.OD SHIPMENTS CANNOT BE ACCEPTED. Michael Men
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABSI.S. ORDERED BY
• ANY WITH ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT TRERETO TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50044
V:=NDOF,COPY