HomeMy WebLinkAbout54263 AQUATIC CONTROL INDIANA RETAIL TAX EXEMPT PAGE I
City of Carmel CERTIFICATE NO.003120155 002 D
PURCHASE ORDER NUMBER
FEDERAL(EXCISE TAX EXEMPT 54263
35-60000972
ONE CIVIC SQUARE
CARMEL,,INOIANA D32-2594 THIS NUMBER MUST APPEAR ON INVOICE,A1P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CloRMEL-1597 SHIPPING LABELS AND ANY CORRESPCNDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3113/2020 03/04/20 22818 010350893 Engagement of Services-2020 Pond Maintenance
Aquatic Control Parks Maintenance
P.O. Box 1002 1427 E. 116th Street ATTN-. Courtney
VENDOR Seymour, IN 47274 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS .....FREIGHT
QUANTITY UNIT OF MIEASURE DESCRIPTION UNIT PRICE j EXTENSION
6,000 each April-Sept Central Park clean lake program $420.333 $2,522,00
GLAccaunt#1125404-4350400
6.000 each April-Sept-Meadowlark clean lake program $239.666 $ 1,438.00
GLAccaunt#11254114-4350400
6.000 each April-Sept West Park clean lake program $241.666 $ 1,450.00
GLAccaunt#1 1 254 1 9-4350400
Send Invoice To:
$ 5,410.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AP VOUCHER CANNOT BE APPROVER 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.0 SHIPMENTS CANNOT BE ACCEPTED. I�
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 9.9,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITTLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54263 VENDOR COPY