HomeMy WebLinkAbout52651 HOOSIER PORTABLE RESTROOMS INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
ity
o `""�""" �' FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
52651
35-60000972
ONE CIVIC SQUARE
CARMEL,,iIAII _0'32-2EF, 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
4/5/2019 04/07/19 19315 354857 Portalet restrooms for parks 2019
Hoosier Portable Restrooms Inc Parks Maintenance
2201 E 99th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46280 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
26.000 each Rental/cleaning of EAU enhanced portalet for Carey Grove $40.0000 $ 1,040.00
Park(mid-April thru mid-October-26weeks)
GLAccount#1125403-4353099
26.000 each Rental/cleaning of EAU enhanced portalet for Hazel Landing $40.0000 $ 1,040.00
(mid-April thru mid-October-26weeks) I
GLAccount#1125410-4353099
26.000 each Rental/cleaning of EAU enhanced portalet for Meadowlark $40.0000 $1,040.00
Park(mid-April thru mid-October-26weeks)
GLAccount#1125414$4353099
Send Invoice To:
,120;00=
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52651 VENDOR DOPY