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FRTIFICATE NO.003120155 002
EDERAL EXCISE TAX EXEMPT O PURCHASE ORDER NUMBER
Parkec ti 35-60000972 56832
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t til L 1.16"'Street
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Carmel,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
6/16/2022 06/20/22 28546 360022 Graffiti Removal Supplies for Parks
Hoosier Company Inc. The Parks Maintenance
P.O. Box 681064 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46268 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each 79301 elephant snot, 1 gallon $ 85.000 $ 170.00
5.000 each 79350 max swipes $ 15.000 $ 75.00
1.000 each Shipping $ 39.000 $ 39.00
GLAccount# 1125401-4238900
Send Invoice To:
$284.00
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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Park Maintenance Foreman
CONTROLLER
DOCUMENT CONTROL NO. 56832 VII NDOR COPY