HomeMy WebLinkAbout52550 BELSON OUTDOORS, INC INDIANA RETAIL TAX EXEMPT PAGE 1
City
of Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52550
35-60000972
OWE Ci:C SQUARE
C.4q14EL.`tI WAILA c=032-2t5L 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
3/13/2019 03/12/19 19068 372638 Dog-i-Pot Station and Bench for Prairie Meadow and inventory
Belson Outdoors Inc. Parks Maintenance
627 Amersale Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Naperville, IL 60563 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
2.000 each DP-1003-L Dog pot aluminium station $349.0000 $698.00
1.000 each PL6-P Recycled plastic 6' bench:Weathered Wood $416.0000 $416.00
Frame:Black
1.000 each Shipping $ 186.3400 $ 186.34
GLAccount#1125417-4239000
Send Invoice To:
$ 1,300.34
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52550 VENDOR COPY