HomeMy WebLinkAbout50696 MIRACLE RECREATION EQUIPMENT INDIANA RETAIL EXEMPT
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�r!�. armeCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50696
35.60000972
Crfl RMEL,MDL4tb4'48032:2E84 THIS NUMBER MUST APPEAR ON INVOICES,AM
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 M DATE REQUIRED REQUISITION NO. VENDOR
----- - i NO.
DESCRIPTION
12/27/2017 j12/25/17 14839 353472 !Playground equipment repair kit for west park
Miracle Recreation Equipment C Parks Maintenance
PO Box 204757 1427 E. 116th Street ATTN:Courtney
VENDOR Dallas,TX 75320-4757 SHIP Carmel,IN 46032
TO
._ . _._.......
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1.000ANTITY each F MEASURES R261408 multi-pondo bushing
UNIT PRICE EXTENSION
ng repair kit $341.0000 $341.00
1.000 each Freight $168.0000 $ 168.00
GLAccount#1125419-4237000
SCANNED
DEC 2 .9 2811
Send Invoice To:
$509.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNTPROJECT 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 UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. i',_ IIPMENTS CANNOT BE ACCEPTED.
• I SE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE \
CLERK-TREASURER
DOCUMENT CONTROL NO. 50696 VENDOR COPY