HomeMy WebLinkAbout52481 JAMES BALLENGER BULLDOZING & STONE INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
CERTIFICATE NO.003120155 002 0
Carmel
city FEDERAL EXCISE TAX EXEMPT 52481
35-60000972
CUE CIVIC SQUARE
CARMEL,':,IVOt-:2'1.'."2-2z . 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
2/25/2019 02/24/19 18912 368711 Stone for trails at Central Park East
James Ballenger Bulldozing&Stone Parks Maintenance
9055 Van Dyke Road 1427 E. 116th Street ATTN:Courtney
VENDOR Laurel, IN 47024 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
40.000 ton #12 crushed limestone for the trails at Central Park East $32.0000 $ 1,280.00
including delivery
GLAccount#1125401-4236000
Send Invoice To:
$ 1,280.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT 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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1k
AND ACTS AMENDATORY THEREOF ANI�SUPPLEMENT THERETO. TITLE u\l
CLERK-TREASURER ^\
DOCUMENT CONTROL NO. 52481 VENDOR COPY