HomeMy WebLinkAbout50325 ELECTRO PAINTING & REFURBISHING •
INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO 003120153 002 0 f PURCHASE ORDER NUMBER-----
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FEDERAL EXCISE TAX EXEMPT i 50325
33 60000972
ONE:CIVIC.SQUARE '
CAR11 65}1ANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,/VP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/7/2017 =08/08/17 :13590 362198 Hagan-Burke wood bridge decking repair
Electro Painting&Refurbishin Parks Maintenance
P.O.Box 670932 1427 E.116th Street ATTN:Courtney
VENDOR Marietta,GA 30066 SHIP Carmel, IN 46032
TO
CONNFIRMAFIRMA_
CTION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE I-_EXTENSION
1.000 each Labor and material to repair bridge decking with slip resistant $1,800.0000 $1,800.00
coating
GLAccount#1125409-4350100
Send Invoice To:
$ 1,800.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT
• NP 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 UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. CAD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - - _ ......._..
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL.NO. 50325 VENDOR COPY