HomeMy WebLinkAbout53607 PRECISION CONCRETE, INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
city ofCarmelFEDERAL EXCISE TAX EXEMPT
53607
35-60000972
OWE CIVIC SQUARE
CARMEL i•IDt=:tA•=n32-[=;= APPEARTHIS NUMBER MUST INVOICES,VOUCHER,DELIVE YMEMO,PACKINGSUPS.
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 09/21/19 21449 3tel ��•J` Sidewalk Trip Hazard Eliminations
Precision Concrete, Inc. Parks Maintenance
1896 Goldeneye Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Holland, MI 49424 SOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Hagan-burke and monon intersection $ 1,217.560 $1,217.56
GLAccount#1125409-4350400
1.000 each Hazel Landing $333.500 $333.50
GLAccount#1125410-4350400
1.000 each Monon north trailhead $692.880 $692.88
1.000 each Discount $-487.810 $-487.81
GLAccount#1125416-4350400
Send Invoice To:
$'1''756.13:
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
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 (�
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE VCLERK-TREASURERDOCUMENT CONTROL NO. 53607 VENDOR COPY \1°)\Y