HomeMy WebLinkAbout50141 JAMES BALLENGER BULLDOZING & STONE CitINDIANA RETAIL TAX EXEMPT PAGE 1f ar�^� CERTIFICATE NO.003120155 002 0 I
PURCHASE ORDER NUMBER
f�
FEDERAL EXCISE TAX EXEMPT i 50141
35.60000972 J
OI:E CHIC SQL'4R_
CAMEL,N:irvl LA L.3:2,-2”:.° THIS NUMBER MUST APPEAR ON INVOICES,AP
VOUCHER.DEL/VERY MEMO.PACKING SLPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/28/2017 08/01/17 13490 368711 Central Park trail stone
James Ballenger Bulldozing&Stone Parks Maintenance
9055 Van Dyke Road 1427 E. 116th Street ATTN:Courtney
VENDOR Laurel,IN 47024 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
20.000 ton #12 crushed limestone for the trails at Central Park East $30.0000 $600.00
including delivery
GLAccount#1125401-4236000
Send Invoice To:
$600.00
PLEASE INVOICE IN DUPLICATE
_.._.__..........
DEPARTMENT I ACCOUNT IPROJECT I PROJECT ACCOUNT 1 AMOUNT
PAYMENT
• AR 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 AFFIDAVITATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBL IGATED BALANCE IN THIS APPROPRIATION
• SHP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SHIPMENTS CAM4OT BE ACCEPTED.
• PURCHASE ORDER MJMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE ^
CLERK-TREASURER �'
DOCUMENT CONTROL NO. 50141 VENDOR COPY
v