HomeMy WebLinkAbout50692 KOMPAN, INC City
I INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE N0.0031201 002 0.. . Carmel 55 D __...:..�...,._,..� ..�. 155--m PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50692
3540000972
'I 'ONECIVICSQUi4RE ..
I CARMELI NDIANA 46032:2584: THIS NUMBER MUST APPEAR ON INVOICES,AJP
I VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE._..,.
PURCHASE ORDER DATE 1 DATE REQUIRED REQUISITION NO. 1 VENDOR NO. DESCRIPTION
New Vendor
12/22/2017 12/27/17 14858 (W-9 attached) Playground Equipment for West Park Groves Project
Kompan,Inc. 32I sti Administration Office
821 Grand Avenue Parkway,Suite 410 1411 E. 116th Street
VENDOR Pflugerville,TX 78660 SHIP Carmel, IN 46032
TO
CONFIRMATIONmi. BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY r UNITOFMEASURE �F« DESCRIPTION 1 UNIT PRICE ._ 1 EXTENSION
$ 1.0000 each Playground Equipment per Attached Proposal 50,695.290 $50,695.29
$ 1.0000 each Freight Charges 2,656.000 $2,656.00)
GLAccount#1060000-5023990
SCANNED
DEC 19 1017
Send Invoice To:
$53,351.29
PLEASE INVOICE IN DUPLICATE
—
DEPARTMENT I- ACCOUNT 1 PROJECT PROJECT ACCOUNT 7 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.
▪ ^^^'`9IPMENTS CANNOT BE ACCEPTED.
• SE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• •rim vnOER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - - -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE `[.�
CLERK-TREASURER \\u
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DOCUMENT CONTROL NO. 50692 VENDOR COPY