HomeMy WebLinkAbout52696 MUSSELMAN FARMS f � INDIANA RETAIL TAX EXEMPT PAGE 1
f � p�y CERTIFICATE NO.003120155 002 0City C�,r rme': PURCHASE ORDER NUMBER
��✓✓ FEDERAL EXCISE TAX EXEMPT 52698
35-60000972
ONE CIVIC SQUARE
CARMEL,':PIDIA IA 4SC32-2E84 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
4/18/2019 04/15/19 19417 00352476 Playground safety surfacing mulch-volunteer project(West
Park)
Musselman Farms Parks Maintenance
17505 Durbin Road 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
80.000 yard West Park-80 yards of soft step playground surfacing (semi- $ 18.0000 $ 1,440.00
trailer load)
1.000 each Delivery fee $260.0000 $260.00
GLAccount#1125419-4239000
Send Invoice To:
$ 1,700.00
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 l'.1j
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLECLERK-TREASURER
DOCUMENT CONTROL NO. 52698 VENDOR COPY