HomeMy WebLinkAbout53939 IMI IRVING MATERIALS INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
FEDERAL EXCISE TAX EXEMPT
10111
35 60000972 53RCHASE ORDER NUMBER
�I f i� 9, PU
939
ONE CIVIC SQUARE
CARMEL, INDIANA 4E032-2'E84 THIS NUMBER MUST APPEAR ON INVOICES,A1P
VOUCHER,DELIVERY MEMO,PACKING SLIPS
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
CHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/6/2020 12/15/19 22129 00352765 Stone for Hazel Landong Canoe Launch Ramp Area
IMI Irving Materials Inc Parks Maintenance
P.O. Box 7048 Group#2 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46207-7048 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
20.000 ton Triaxle load of Rip Rap Stone $22.950 $459.00
20.000 ton Delivery Fee $ 5.050 $ 101.00
GLAccount#1125401-4236000
Send Invoice To:
$560.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER 15 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.O 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. 53939 VENDOR COPY