HomeMy WebLinkAbout54567 HOOSIER PORTABLE RESTROOMS INC , I * f C, ,
C INDIANAERTIFICATE RETAINO.L TAX EX 003120155EMPT002 0 PAGE 1
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e .I. PURCHASE ORDER NUMBER
Y k
P FEDERAL EXCISE TAX EXEMPT 54567
35-60000972
ONE.CIVIC SQUA.R.E..
CARF4EL, 4169,32-2E34 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
6/26/2020 05/05/20 23175 354857 Hand Washing Station Rental
Hoosier Portable Restrooms Inc Parks Maintenance
2201 E 99th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46280 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
22.000 each Weekly Rental for Hand Washing Station for Central Park (Mid $ 100.000 $2,200.00
May- Mid Oct 2020)
22.000 each Weekly Rental for Hand Washing Station for Meadowlark(Mid $ 100.000 $2,200.00
May- Mid Oct 2020)
22.000 each Weekly Rental for Hand Washing Station for Hazel Landing $ 100.000 $2,200.00
Park (Mid May- Mid Oct 2020)
22.000 each Weekly Rental for Hand Washing Station for Admin Office (Mid $ 65.000 $ 1,430.00
May- Mid Oct 2020)
GLAccount# 1125101-4359016
Send Invoice To:
$ 8,030.00
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54567 VENDOR COPY