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3 CERTIFICATE NO.003120155 002 0�of3 PURCHASE ORDER NUMBER
City ���,�///arm
53604
35-60000972
ONE CMC SQUARE -
CARMEL,lilDIAtiA 4E032-25E4 THIS NUMBER MUST APPEAR ON VOUCHER,DELIVERYINVOICES,MEMO,ACKINGSUPS,
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
9/30/2019 07/20/19 20718 i J &at Concrete Sign Base Installation for Perelman
M.J. Restoration&Construction LLC Parks Maintenance
1195 W.200 South SHIP 1427 E. 116th Street ATTN: Courtney
VENDOR Lebanon, IN 46052 Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Labor and material for limestone and concrete installation $4,950.000 $4,950.00
GLAccount#1060000-5023990
Send Invoice To:
$4,950.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER `O
DOCUMENT CONTROL NO. 53604 VENDOR COPY