HomeMy WebLinkAbout52317 LEE SUPPLY CORP 3 mINDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
CERTIFICATE NO.003120155 002 0
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vvv `���...+++"' 111 FEDERAL EXCISE TAX EXEMPT 52317
35-60000972
ONE CIVIC SQUARE
CARMEL,i[I31r'..J1=.x '32-2'R= THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/8/2019 01/12/19 18578 184000 Dog Park restrooms faucet replacments
Lee Supply Corp Parks Maintenance
P 0 Box 681430 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46268 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
2.000 each z6913-xI-cp4 Zurn sensor faucet $247.2400 $494.48
2.000 each CP4-4"Deck Plate $25.8100 $51.62
GLAccount#1125404-4237000
Send Invoice To:
$546.10
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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 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. 52317 VENDOR COPY \\