HomeMy WebLinkAbout54975 CHARDON LABORATORIES INC INDIANA RETAIL TAX EXEMPT PAGE 1
4006,
CaiMe • ay CERTIFICATE NO.003120155 002
FEDERAL EXCISE TAX EXEMPT 0
PURCHASE ORDER NUMBER
Parkec ti 35-60000972 54975
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:141.1 L 11 m Street
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Car eI,IN 46032 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
11/17/2020 11/22/20 24465 358403 2020 Boiler Service for Perelman
Chardon Laboratories, Inc. MCC-West
7300 Tussing Road 1235 Central Park Drive East
VENDOR Reynoldsburg, OH 43068 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4.000 each Quarterly service for boiler water and filter units-Oct 2020- $426.500 $ 1,706.00
Sept 2021
GLAccount# 1104000-4350900
Send Invoice To:
$ 1,706.00
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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 54975 COPY