HomeMy WebLinkAbout53986 PRECISION CONCRETE INC INDIANA RETAIL TAX EXEMPT PAGE 1
City of, ar: PURCHASE ORDER NUMBER
,,
CERTIFICATE NO.003120155 002 0
i N
U FEDERAL EXCISE TAX EXEMPT 53986
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-2584 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
1/13/2020 01/13/20 22338 367635 Sidewalk Trip Hazard Repair-Founders Park 2020
Precision Concrete, Inc. Parks Maintenance
1896 Goldeneye Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Holland, MI 49424 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Sidewalk Trip Hazard Elimination @ 60 locations at Founders $ 6,593.810 $ 6,593.81
Park
1.000 each Discount $-1,433.440 $-1,433.44
GLAccount# 1125408-4350400
Send Invoice To:
$ 5,160.37
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. 53986 \Clliliii1N1DOIR COPY