HomeMy WebLinkAbout55772 IMI IRVING MATERIALS INC (2) INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
CitY O N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55772
35-60000972
ONE CIVIC SQUARE
CA RM E L,IN DIA NA 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
9/8/2021 07/26/21 26350 00352765 Change:Gravel for Bear Creek Parking Area
IMI Irving Materials Inc Parks Maintenance
P.O. Box 7048 Group#2 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46207-7048 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
62.020 ton Triaxle load of#53 Stone $ 16.000 $ 992.32
62.020 ton Delivery Charge for 53 Stone $ 6.950 $431.04
62.020 each Environmental Charge on#53 Stone $ 0.250 $ 15.51
GLAccount# 1125401-4236000
Send Invoice To:
$ 1,438.87
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. 55772 V N ID 0 IR COIF Y