HomeMy WebLinkAbout56165 HOOISER PORTABLE RESTROOMS INC CERTIFICATE NO 003120155 002 0 1
City
Carmel INDIANARETAILTAXEXEMPT PAGE .,,
PURCHASEof ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-600009727,
ONE CHIC SQUARE _
CARMEL,INDIANA 46032-2584 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 pm NDOR NO. DESCRIPTION
......... ....._ ....E.
12/13/2021 _.�._._..__.
12/15/21 27117 354857 Portable Restroom for Flowing Well
Hoosier Portable Restrooms Inc Parks Maintenance
2201 E 99th Street 1427 E. 116th Street
VENDOR Indianapolis, IN 46280 To P Carmel, IN 46032
CONFIRMATION BLANKETCONTRACT ---- ..._..... PAYMENT TERMS. .�...�. ........ . ___..._ .. .... ..,____ ._
FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I, UNIT PRICE 1. EXTENSION
1.000 each 1 ADA Enhanced Unit Rental (1 week 12/13- 12/17/21) $ 130.000 $ 130.00
GLAccount#1125407-4353099
Send Invoice To:
$ 130.00
PLEASE INVOICE IN DUPLICATE
_ ...._
DEPARTMENT ACCOUNTM, PROJECT PROJECT ACCOUNT - AMOUNT
PAYMENT
• MP 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 Audrey Cooper wl, 1 -)
• 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. '',"'e...,,/,`p ~~'' VENDOR COPY