HomeMy WebLinkAbout52755 LEE SUPPLY CORP INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
`.„. : \ ,„ .„ ., . FEDERAL EXCISE TAX EXEMPT 52755
35-60000972
ONE CMC SQUARE
CARMEL. I01411 A a132-2ES= THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER.DELIVERY MEMO,PACKING SUPS.
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
4/25/2019 04/30/19 19607 184000 Drinking fountain replacement
Lee Supply Corp Parks Maintenance
P O Box 681430 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46268 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each F200-PM Oasis Non-Refrigerated Drinking Fountain $811.4700 $811.47
1.000 each Shipping $ 135.0000 $ 135.00
GLAccount#1125408-4237000
Send Invoice To:
$946.47
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 UNOBUGATED 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 ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52755 VENDOR COPY