HomeMy WebLinkAbout50336 AQUATIC CONTROL INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.O03120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
Pa S8C 'creation35 60000972 50336
141 16"Street 1:
ILA} _ THIS NUMBER MUST APPEAR ON INVOICES,AIP
'.VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE r DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/12/2017 .09/17/17 13972 '00350893 Change:Central park aerator compressor replacement
Aquatic Control Parks Maintenance
P.O.Box 1002 1427 E. 116th Street ATTN:Courtney
VENDOR Seymour, IN 47274 SHIP Carmel, IN 46032
CONFIRMATION; BLANKET I CONTRACT ( PAYMENT TERMS FREIGHT
4
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
1.000 each LLGO60 314 HP quiet rotary vane compressor $637.5500 $637.55
1.000 each Freight Charge $37.8000 $37.80
GLAccount#1125404-4237000
Send Invoice To:
$675.35
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 _ PROJECT PROJECT ACCOUNT i 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 AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• TMS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50336 VENDOR COPY _ _
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