HomeMy WebLinkAbout52797 BELSON OUTDOORS INC i INDIANA RETAIL TAX EXEMPT PAGE 1
Cityo `a me CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52797
35-60000972
ONE CIVIC SQUARE
CARMEL,IE.ILDIAHA 46G32-25$.5 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
5/2/2019 04/24/19 19541 372638 Picnic tables for the Groves at West Park
Belson Outdoors Inc. MCC-West
627 Amersale Drive 1235 Central Park Drive East
VENDOR Naperville, IL 60563 TO
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
12.000 each Item#IOTA-02946RXP-Thermoplastic 46"Square Table with $690.0000 $8,280.00
a Plastisol Black Top/Seat and Powder Coated Grey Frame
4.000 each Item#IOTA-03146RXP-ADA Thermoplastic 46"Square Table $730.0000 $2,920.00
with a Plastisol Black Top/Seat and Powder Coated Grey
Frame
1.000 each Shipping $ 1,350.0000 $1,350.00
GLAccount#1060000-5023990
•
Send Invoice To:
$ 12,550.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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 ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52797 VENDOR COPY