HomeMy WebLinkAbout54386 BELSON OUTDOORS INC CERTIFICATE INDIANA RETAINO.L TAX EXEMPT 0 PAGE 1
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0 9 i N PURCHASE ORDER NUMBER
itY U FEDERAL EXCISE TAX EXEMPT 54386
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
5/5/2020 05/03/20 23162 372638 Trash Cans and Bike Racks for Outdoor Parks and Inventory
Belson Outdoors Inc. Parks Maintenance
627 Amersale Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Naperville, IL 60563 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
8.000 each Item#R32TR-32 Gal Thermoplastic Expanded Steel Trash $ 323.000 $2,584.00
Receptacle Brown Base
8.000 each Item R32L-32 Gal Rigid Liner Black $ 56.000 $448.00
8.000 each Item#R32DC-Plastic Dome Cover for Trash Receptacle- $ 130.000 $ 1,040.00
Brown
2.000 each "U"stainless steel bike rack-CBBR-2UR-SSD surface mount $ 185.000 $ 370.00
1.000 each Shipping $430.180 $430.18
GLAccount# 1125401-4239000
Send Invoice To:
$4,872.18
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54386 VIE 1NID 0 IR CO Y