HomeMy WebLinkAbout52354 IMI IRVING MATERIALS INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
C'ar '" , CERTIFICAEO055 002 0o 1r- FEDERAL EXCISE TAX EXEMPT 52354
35-60000972
011E CMC SQUARE
CARMEL, UOLA$IA4SC32-2S-S4 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
1/21/2019 01/15/19 18611 00352765 Gravel for Hazel Landing&Park Maint Office
IMI Irving Materials Inc Parks Maintenance
P.O. Box 7048 Group#2 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46207-7048 SHITO
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
20.180 each Triaxle load of#53 stone delivered TO HAZEL LANDING $ 14.5000 $292.61
20.650 ton Triaxle load of#53 stone delivered TO MAINTENANCE $ 14.5000 $299.43
OFFICE
20.180 each Delivery Fee for Hazel Landing $4.4000 $88.79
20.650 each Delivery fee for Park Maintenance $5.0500 . $ 104.28
GLAccount#1125401-4236000
Send Invoice To:
$785.11
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 rT�.
CLERK-TREASURER ! (L��v l
DOCUMENT CONTROL NO. 52354 VENDORCOPY �`p'