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'1H, CERTIFICATE NO,003120155 002 0
PURCHASE ORDER NUMBER
;t,II
FEDERAL EXCISE TAX EXEMPT 54950
35-60000972
ONE crvic SQUARE
CARMEL,INDIANA 46032-21: 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
11/6/2020 11/10/20 24395 359478 Hand Soap for Dispensers in the Parks
Hillyard Parks Maintenance
P.O. Box 803658 1427 E. 116th Street ATTN: Courtney
VENDOR Kansas City, MO 64180-3658 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT 1 PAYMENT TERMS FREIGHT
QUANTITY 1 DESCRIPTION UNIT PRICE EXTENSION
5.000 each HIL0039003- Foaming hand soap case of 4 $60.840 $304.20
1.000 each Delivery charge 40.000 $40.00
GL.Account#1125401-4238900
Send Invoice To:
$344.20
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNTj 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 0.0 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. 54950 VENDOR COPY