HomeMy WebLinkAbout54964 HOOSIER PORTABLE RESTROOMS INC INDIANA RETAIL TAX EXEMPT PAGE 1
• . CERTIFICATE NO.003120.155 002 0
PURCHASE ORDER NUMBER
.„..
FEDERAL EXCISE TAX EXEMPT 54964
35-60000972
ONE CUE:SQUARE.
CAIRMEL.,IINDLAN.A..03032-2534 THIS NUM.BER MUST A.PPEAR oN.INVOICES,AiP
VOUCH.ER„DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE...
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION'
11/16/2,020 11/18120 2.4447 354..857 Portalet restrooms for Inlow 2020-2021
Hoosier Portable Restrooms Inc Parks Maintenance
2201 'E 99th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 462 SHIP,80 Carmel, IN 4603.2.
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION 11 UNIT PRICE EXTENSION
44000 each 2 units- Rental/cleaning of EAU enhanced portalet for lnlow $40,000. 1.„760.00
Park(mid-November thru mid-April-22 weeks)
GLAccount# 1125411-4353099
Send Invoice To:,
1,,760..00
PLEASE INVOICE, IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
AIP 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.0.1)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
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CLERK-TREASURER
DOCUMENT CONTROL NO. .54964 VENDOR COPY