HomeMy WebLinkAbout53575 LEE SUPPLY CORP city 1, INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
`"'� FEDERAL EXCISE TAX EXEMPT
53575
35-60000972
ONE CMC SQUARE •
CARMEL.Rl{=L,INDIANA 4 f.1 SC-2{ THIS NUMBER MUST ON INVOICES,PJP
VOUCHER,DELIVERY MEMO,R 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
9/20/2019 09/23/19 21473 184000 Replacement Faucets
Lee Supply Corp Parks Maintenance
P O Box 681430 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46268 TOP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
2.000 each z6913-xl-Zurn sensor faucet $247.240 $494.48
GLAccount#1125408-4237000
Send Invoice To:
•
$494.48
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 Neil Whitehead eN
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER lltr:(X
DOCUMENT CONTROL NO. 53575 VENDOR COPY