HomeMy WebLinkAbout52275 KOMPAN, INC INDIANA RETAIL TAX EXEMPT
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�. CERTIFICATE N0.003720155 002 0 r„,,,
City PURCHASE ORDER NUMBER
""•' FEDERAL EXCISE TAX EXEMPT
35-60000972 1j1.152275
ONE WIC SQUARE. . __ .._... .. __ _..._x__ ?
.. ..._.._..___. _
CARMEL,.1ND{AI'IA 4E032-2E54 THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE.
1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 I e, ..___._.
PURCHASE ORDER DATE 1 DATE REQUIRED . REQUISITION NO. 1 VENDOR NO. 1 DESCRIPTION
1/2/2019 112/26/18 18485 1 372154 Playground Age Signs-West Park
Kompan, Inc. Administration Office
821 Grand Avenue Parkway,Suite 410 1411 E.116th Street
VENDOR Pflugerville,TX 78660 To P Carmel,IN 46032
CONFIRMATION I BLANKET 1 CONTRACT 1 PAYMENT TERMS FREIGHT
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QUANTITY I UNIT OF MEASURE I DESCRIPTION 1 UNIT PRICE f EXTENSION
1.000 each Kompan Age Appropriate Signs $1,105.3800 $1,105.38
1.000 each Freight Charges $429.0000 $429.00
GLAccount#1060000-5023990
Send Invoice To:
$1,534.38
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT i PROJECT ! PROJECT ACCOUNT 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 UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O,D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORCER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER f�
DOCUMENT CONTROL NO. 52275 VENDOR COPY �,
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