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w CERTIFICATE NO.003120155 002 0
C
itY O r 9 i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT 54399
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
5/6/2020 05/11/20 23215 00353358 Outdoor game supplies for the Monon Boulevard
S &S Worldwide Inc Parks Maintenance
P O Box 845825 1427 E. 116th Street ATTN: Courtney
VENDOR Boston, MA 02284-5825 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each W12812-Classic Bocce Set $ 74.260 $ 148.52
2.000 each W9119-Spectrum table tennis paddle set(6 pack) $24.430 $48.86
2.000 each W10306-Spectrum bucket O'table tennis balls (60ct) $28.190 $ 56.38
2.000 each W1200-Shuffleboard set-official size outdoor set $ 131.600 $263.20
GLAccount# 1125422-4239039
Send Invoice To:
$ 516.96
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. 54399 VIE 1NID 0 IR CO Y