HomeMy WebLinkAbout52798 PARK N POOL CORPORATION INDIANA RETAIL TAX EXEMPT PAGE 1
y.� y�.�� CERTIFICATE NO.003120155 002 0
1t'', ( �( II 1 i06
PURCHASE ORDER NUMBER
l� La ++L 1 FEDERAL EXCISE TAX EXEMPT 52798
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 4...032-2ES4 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 05/07/19 19702 366175 Picnic tables for the Groves at West Park
Park n Pool Corporation MCC-West
40 Park Place 1235 Central Park Drive East
VENDOR Lexington,VA24450 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
12.000 each Item#10TA-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#10TA-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 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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52798 VENDOR COPY