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CERTIFICATE NO.003120155 002 0
9ty1 PURCHASE ORDER NUMBER
t�- Carmel FEDE
RAL EXCISE TAX EXEMPT 53530
35-60000972
011E CIVIC SQUARE
CARMEL,IUC[AU'IA= i32-22ES4 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
9/6/2019 09/11/19 21384 00352476 Safety Surfacing for River Heritage
Musselman Farms Parks Maintenance
17505 Durbin Road 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
40.000 yard Playground safety surfacing for River Heritage Park $24.960 $998.40
2.000 each Shipping/Delivery Charge $50.000 $ 100.00
GLAccount#1125418-4239000
Send Invoice To:
$ 1,098.40
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 \(w
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE /1`\` (/\
CLERK-TREASURER (V( /
DOCUMENT CONTROL NO. 53530 VENDOR COPY \u