HomeMy WebLinkAbout104862 RESIDEX LLC v I N DIANA RETAIL TAX EXEMPT Page 1 of 1
ito-.r c"l,, rm(ei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 104862
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
1/5/2021 367098
RESIDEX LLC Brookshire Golf Course
VENDOR PO BOX 674923 SHIP 12120 Brookshire Pkwy.
TO Carmel, IN 46033-
DETROIT, MI 48267-4923 Pamela Lister (317)846-7431
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
52892
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1207 Fund: 101 General Fund
Account., 43-504.00
1 Each INV652268 $107000.00 $107000.00
Sub Total $107000.00
11400
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Send Invoice To:
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Brookshire Golf Course
Pamela Lister of
12120 Brookshire Pkwy.
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Carmel, IN 46033- "r r
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(317)846-7431 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $103000.00
SHIPPING INSTRUCTIONS *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
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
*THIS ORDER ISSUED INCOMPLIANCE WITH CHAPTER 99,ACTS 1945 "- - ...'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY r
Bob Higgins
TITLE General Manager/Superintendent
CONTROL NO. 104862 CLERK-TREASURER