HomeMy WebLinkAbout53533 AYERS BACKFLOW CHECK SER INDIANA RETAIL TAX EXEMPT PAGE 1
\ CERTIFICATE NO.003120155 002 0
PURASE ORDER NUMBER
CityFEDERAL EXCISE TAX EXEMPT 53533
35-60000972
ONE CIVIC SQUARE
CARMEL,:NBIANA,4,3032-2E,S4 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
9/16/2019 05/27/19 20020 359344 Parks Backflow Testing&Repair Service 2019
Ayers Backflow Check Ser Parks Maintenance
20 Bennett Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46032 SHIP
HP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
8.000 each Restroom Backflow routine maintenance to Central Park North, $45.000 $360.00
Westermeier Commons, Founders, River Heritage, North &
South Trailhead,West Park,and Inlow
1.000 each ' Repair to River Heritage Backflow $40.000 $40.00
1.000 each West Park Splash Pad Backflow Maintenance $55.000 $55.00
1.000 each Inlow Repair to Backflow $ 15.000 $ 15.00
1.000 each Inlow Splash Pad Backflow Maitenance $45.000 $45.00
1.000 each Founders Park Irrigation Backflow Maintenance $45.000 $45.00
GLAccount#1125401-4350100
•
Send Invoice To:
$560.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I 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 `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE \\\J
CLERK-TREASURER ��
DOCUMENT CONTROL NO. 53533 VENDOR COPY '