HomeMy WebLinkAbout53735 MOST DEPENDABLE FOUNTAINS INC INDIANA RETAIL TAX EXEMPT PAGE 1
pl CERTIFICATE NO.0031201550020City
Ef iLttjl�" PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53735
35-60000972
ONE C[;:SIG SQUARE
CARMEL INDIANA 460.32-2SS4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DEUVERY 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
10/30/2019 11/03/19 21823 354037 Covers for Outdoor Park Equipment
Most Dependable Fountains Inc. Parks Maintenance
P.O. Box587 1427 E. 116th Street ATTN: Courtney
VENDOR Arlington,TN 38002-0587 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
6.000 each Item#Seasonal Cover-Outdoor covers for drinking fountains $ 165.000 $990.00
1.000 each Shipping $30.000 $30.00
GLAccount#1125422-4238000
Send Invoice To:
$ 1,020.00
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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 53735 VENDOR COPY