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CERTIFICATE NO.003120155 002 0
City
Carmel
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53954
35-60000972
ONE E,rvfIE SQUARE
E:ARhIEL,INDIANA 460,��2-25,S4, THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1/8/2020 01/08/20 22282 00350893 Rotary compressor Maint Kits for Central Park Lagoon.
Aquatic Control Parks Maintenance
P.O. Box 1002 1427 E. 116th Street ATTN: Courtney
VENDOR Seymour, IN 47274 TOIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each Maint Kit#LLG479-3/4HP 120V Quiet rotary vane kit w/intake $ 125.510 $251.02
filter and pressure relief
1.000 each Shipping $ 13.260 $ 13.26
GLAccount# 1125404-4350000
Send Invoice To:
$264.28
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. 53954 Vlliliiil 11..)()1:R C 0111)y