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CERTIFICATE NO.003120155 002 0
' „In dik x
PURCHASE ORDER NUMBER
.. " FEDERAL EXCISE TAX EXEMPT
54701
35-60000972
ONE CIVIC SOUARE
(CARMEL, IN 114,1,1A„„46032-25,8,4 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
8/4/2020 08/08/20 23819 359365 Chemicals for Midtown Spray Plaza
Spear Corp MCC- East
P.O. Box 3 1235 Central Park Drive East
VENDOR Roachdale, IN 46172 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
6.000 each Hydrochloric Acid 15 gallon drum HC15 $87.500 $ 525.00
3.000 each sodium hypochlorite 15 gallon $ 75.300 $225.90
2.000 each acid magic 15 gallon $95.500 $ 191.00
1.000 each delivery fee (split delivery with Waterpark) $ 100.000 $ 100.00
GLAccount# 1125300-4238900
Send Invoice To:
$ 1,041.90
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 Sean Robert
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54701 V IF;;;III D Ih I,,,