HomeMy WebLinkAbout53713 HOOSIER PORTABLE RESTOOMS INC INDIANA RETAIL TAX EXEMPT PAGE 1
rmeCERTIFICATE NO.003120155 002 0
I
cty s o ',, a/' 1} PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53713
35-60000972
ONE CM`JMC SQUARE
THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, iIJ�'` � +=C— ',-'�' 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
10/25/2019 10/28/19 21790 354857 Portalet restrooms for Inlow Park 2019-2020
Hoosier Portable Restrooms Inc Parks Maintenance
2201 E 99th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46280 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
32.000 each 2 units-Rental/cleaning of EAU enhanced portalet for Inlow $40.000 $ 1,280.00
Park(mid-October thru mid-April-26weeks)
GLAccount#1125411-4350400
Send Invoice To:
$ 1,280.00
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE _`►('/�
CLERK-TREASURER \Q\r\J
DOCUMENT CONTROL NO. 53713 VENDOR COPY