HomeMy WebLinkAbout50422 AYERS BACKFLOW CHECK SER • ,may INDIANA RETAIL TAX EXEMPT PAGE 1• C: = :°
RTIFICAPURCHASE ORDER NUMOER
.50422
35-60000972
ONE CMC.SQUARE _. ..
CARMEL,IC/ANA 413032-2 64 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SUPS, !.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/5/2017 .06/11/17 12918 1 359344 2017 Backflow preventer servicing
Ayers Backflow Check Ser Parks Maintenance
20 Bennett Rd 1427 E. 116th Street ATTN:Courtney
SHIP
VENDOR Carmel,IN 46032
TO Carmel,IN 46032
CONFIRMATION BLANKET j CONTRACT PAYMENT TERMS FREIGHT
..........
QUANTITY UNIT OF MEASURE: DESCRIPTION UNIT PRICE EXTENSION
1.000 each Backflow preventer routine maintenance to Central Park North, $555.0000 $555.00
Inlow,Founders,River Heritage, North&South Trailhead,
Rotary plaza and West Park
GLAccount#1125401-4350100
Send Invoice To:
$555.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHE REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON AU.SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPUANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER ��
DOCUMENT CONTROL NO. 50422 VENDOR COPY