HomeMy WebLinkAbout54402 OTTO'S PARKING MARKING CO INDIANA RETAIL TAX EXEMPT PAGE 1
w CERTIFICATE NO.003120155 002 0
C
itY 0 r 9 i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT 54402
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
5/7/2020 05/10/20 23207 00351608 Parks Parking Lot Striping
Otto's Parking Marking Co. Parks Maintenance
2449 E Main St 1427 E. 116th Street ATTN: Courtney
VENDOR Greenwood, IN 46143 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Dog park parking lot striping and shark grip additive and bollard $ 513.000 $ 513.00
paint
GLAccount# 1125404-4350400
1.000 each Founders parking lot striping with shark grip additive $ 627.000 $ 627.00
GLAccount# 1125408-4350400
1.000 each Hazel Landing parking lot striping and shark grip additive $423.000 $423.00
GLAccount# 1125410-4350400
1.000 each Inlow parking lot striping with shark grip additive $413.000 $413.00
GLAccount# 1125411-4350400
Send Invoice To:
$ 1,976.00
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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54402 VIE 1NID 0 IR CO Y