HomeMy WebLinkAbout53267 INDIANA BRICK COMPANY AL y li f=*I jt,,/ 4\ � i1`['ICI i, I I PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53267
35-60000972
OH_ CIVIC SQUARE
A P.M`L'IllDl-.li .' J3`.EE , THIS NUMBER MUST APPEAR ON VOUCHER,DELIVERY MEMO,ACKINGISLIPS,
SHIPPING LABELS AND ANY CORRESPONDEN(
M APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
;HASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Possible New Vendor
'2019 07/24/19 20799 W-9 Attached Midtown Cleaning Chemicals
Indiana Brick Company o5 o4ba Parks Maintenance
420 W. Carmel Drive 1427 E. 116th Street ATTN: Courtney
DOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
IRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
)UANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
)0 each HD britenol 1 gallon $29.950 $239.60
)0 each hot stain remover $ 33.250 $ 66.50
)0 each shipping $ 185.000 $ 185.00
GLAccount# 1125422-4238900
I Invoice To:
$491.10
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADI
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
P REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
I.D SI IIPMENTS CANNOT BE ACCEPTED. �
2CI'IASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper ^ `
S ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 (�,j\1
)ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE n Vm
r'I CDV TDCACI IDCD