HomeMy WebLinkAbout55303 GAMEROOM CONCEPTS UNLIMITED INDIANA RETAIL TAX EXEMPT PAGE 1
0,Cit .lyrCERTIFICATE NO.003120155 002 0
N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
35-60000972 55303
ONE CIVIC SQUARE
C.ARMEL,IN DIAILIA 460 32.-.256,4 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
4/6/2021 04/05/21 25106 W-9 attached Billiard Supplies for the Midtown Plaza
Gameroom Concepts Unlimited Parks Maintenance
111 N Longwood Street#125 1427 E. 116th Street ATTN: Courtney
VENDOR Longwood, FL 32750 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
6.000 each All weather pool cue sticks graphite $40.000 $240.00
3.000 each cue chalk 12 pk $ 5.950 $ 17.85
50.000 each Pool cue replacement tips $ 1.500 $ 75.00
1.000 each Shipping $42.000 $42.00
GLAccount# 1125422-4239039
Send Invoice To:
$ 374.85
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE PNR Maintenance Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 55303 IDOIR 4:;4: IF Y