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CERTIFICATE NO.003120155 002 0
" '� �r a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 56560
35-60000972
ONE CIVIC SQUARE
CAR.I'01EL, INO1ANA 4€O32-2 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
4/21/2022 04/18/22 27891 352476
Safety Surfacing for West Park-Perelman Pavilion Volun
Event
Musselman Farms Perleman Pavilion
17505 Durbin Road 3000 W. 116th Street
VENDOR Noblesville, IN 46060 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
50.000 yard Playground safety surfacing for JPP $ 25.560 $ 1,278.00
3.000 each Shipping/Delivery Charge (small truck loads) $ 70.000 $ 210.00
GLAccount# 1125419-4239000
Send Invoice To:
$ 1,488.00
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 Caitlin May
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Volunteer Coordinator