HomeMy WebLinkAbout56561 AUGUST MACK ENVIRONMENTAL INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
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" '� �r a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 56561
35-60000972
ONE criic SQUARE
CAR.I'01EL, INDIANA 46032-2 H,4 THIS NUMBER MUST APPEAR ON INVOICES,
VOUCHER,DELIVERY MEMO,PACKING SLIP.
SHIPPING LABELS AND ANY CORRESPONDE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/22/2022 04/26/22 27986 Asbestos Inspection-PNR Office Breezeway Flooring
August Mack Environmental Inc. Administration Office
1302 N. meridian St. Suite 300 1411 E. 116th Street
VENDOR Indianapolis, IN 46202 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Inspection for Asbestos $ 675.000 $ 675.00
GLAccount# 1125413-4350100
Send Invoice To:
$ 675.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MA
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 APPROPRIATIO
• 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