HomeMy WebLinkAbout54442 MAX-R THE PRESTWICK GROUP INC INDIANA RETAIL TAX EXEMPT PAGE 1
I * CERTIFICATE NO.003120155 002 0
II Y kei. PURCHASE ORDER NUMBER
rity Car P FEDERAL EXCISE TAX EXEMPT 54442
35-60000972
ONE.CIVIC SQUA.R.E..
CARF4EL, 46932-2E34 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
New Vendor?
5/21/2020 05/25/20 23289 W-9 attached. Hand Sanitizing Stations for Monon Blvd
Prestwick Group, Inc. Administration Office
W248 N5499 Executive Drive 1411 E. 116th Street
VENDOR Sussex,Wi 53089 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
10.000 each Custom Hand Sanitizer Dispener Station -All Plastic Blue with $ 725.000 $ 7,250.00
Adjustable Shelf and Camlock
1.000 each Shipping $490.000 $490.00
GLAccount# 1125101-4359016
Send Invoice To:
$ 7,740.00
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.OD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54442 VENDOR COPY