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Ca1Mei 6 ClaNO.INDIANA RETAILTAX EXEMPT PURCHASE ORDER NUMBER
• � / CERTIFICATE N0.003120155 002 0
EXCISE T
Parks&Recrc ation FEDERAL35400009AXEXEMPT 150110
THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO.PACKING 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
7/21/2017 06/14/17 12967 369741 Carey Grove shelter roof replacement
Danco Roofing Services,Inc. Parks Maintenance
1437 Southeastern Avenue 1427 E. 116th Street ATTN:Courtney
VENDOR Indianapolis, IN 46201 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUAN7RY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each shelter roof replacement $ 11,000.0000 $ 11,000.00
GlAccount#1125403-4350100
Send Invoice To:
$11,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
AN VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PA.NUMBER RS MACE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHE).
I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.0 SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUrBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen N -114911/7
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1915
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER A\`
DOCUMENT CONTROL NO. 50110 ^ \\\
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