HomeMy WebLinkAbout53287 ENVIRONMENTAL LABORATORIES FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
35-60000972 53287
ONE CMC SQUARE
CARMEL.INDIAI?IA 466O 2-22S 4 THIS NUMBER MUST APPEAR ON INVOICES,A/
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
2019 07/29/19 20873 355990 Additional Weekly Water Sample Testing for Inlow Splash F
7/17/19-9/25/19
Environmental Laboratories Inc MCC - East
P.O. Box 968 1235 Central Park Drive East
DOR Madison, IN 47250 SHIP Carmel, IN 46032
TO
IRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
)UANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
)00 each Pick up fee per sample $ 5.000 $ 55.00
)00 each Anaylsis $20.000 $220.00
GLAccount# 1125413-4350000
Invoice To:
$275.00
•
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 MADE
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
IP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
I.D SHIPMENTS CANNOT BE ACCEPTED.
RCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Terese McAninch • \
S ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /\
J ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
rI COI/TDCAQI IOCO