HomeMy WebLinkAbout57034 MPST DEPENDABLE FOUNTAINS INC 0, 1,n„ INDIANA RETAIL TAX EXEMPT PAGE 1
City.
qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 57034
35-60000972
ONE CIVIC SQUARE
C.ARMEL,IN DIAILIA 46O 32_2 84 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
8/5/2022 08/08/22 29061 354037 Foot Wash Station Repair Parts
Most Dependable Fountains Inc. Parks Maintenance
P.O. Box 587 1427 E. 116th Street
VENDOR Arlington, TN 38002-0587 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5.000 each NEW VALVE BODY III SS (VBIII SS) $ 150.000 $ 750.00
1.000 each RK-24 hose bibb repair kit $ 35.000 $ 35.00
1.000 each 8004 0-RING KIT small kit for vb3 $ 17.000 $ 17.00
1.000 each 8006 0-RING KIT big oring kit $ 17.000 $ 17.00
1.000 each Freight $20.000 $20.00
GLAccount# 1125407-4237000
4.000 each VB3 ADJUSTABLE KIT SS (VBIII) $ 118.000 $472.00
GLAccount# 1125416-4237000
Send Invoice To:
$ 1,311.00
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. 57034 V N ID 0 IR COIF Y