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INDIANA RETAIL TAX EXEMPT Carmel Clay CERTIFICATE NO.003120155 002
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT-O
Parks&Recreation
tl
arks&Recr�i ation 35.60900972
1411 E 116'''Street mm THIS NUMBER MUST APPEAR ON INVOICES,NP
Carmel,IN 46032 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
i FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/12/2017 12/16117 14728 I 371208 Silica packs for trail and vehicle counters
Amazon Parks Maintenance
Paid through.UFBVisa SHIP 1427 E.116th Street ATTN:Courtney
VENDORTO Carmel,IN 46032
CONFIRMATION f BLANKET CONTRACT PAYMENT TERMS FREIGHT•
QUANTITY f UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE f EXTENSION
8.000 each AQ-DESI-2G-100-Aquapapa 100pks silica $ .
6
6.7500 $54.00
GLAccount#1125401-4238900
Send Invoice To:
$54.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT f ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT
• AJP 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 UNOBLIGATED 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 Courtney Weintraut le I" ""? r<,{'�yk , jz.f r7
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - - - - _:f c
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE .. ..
CLERK-TREASURER v .V
DOCUMENT CONTROL NO. XX-6236 VENDOR COPY
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