HomeMy WebLinkAbout54341 MATTINGLY CONCRETE INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
City of i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT 54351
35-60000972
ONE crnc 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
4/21/2020 03/30/20 23036 00351005 Concrete Sidewalk Repairs and new Bike Rack Slab
Mattingly Concrete Inc. Parks Maintenance
15936 Joliet Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Westfield, IN 46074 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Concrete slab for bicycle racks, approx 4'x10' $ 1,720.000 $ 1,720.00
1.000 each Remove and replace two cracked 6'x6'sections $2,016.000 $2,016.00
1.000 each Cleanup/environmental $225.000 $225.00
1.000 each equipment and fuel charge $ 195.000 $ 195.00
1.000 each Discount $-250.000 $-250.00
GLAccount# 1125416-4350400
Send Invoice To:
$ 3,906.00
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 AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54351 VIE 1NID 0 IR CO Y