HomeMy WebLinkAbout57044 ENVIRONMENTAL LABORATORIES INC INDIANA RETAIL TAX EXEMPT PAGE 1
CaiMe • C ay
RTIFICATE NO.003120155 002
FEDERAL EXCISE TAX EXEMPT 0
PURCHASE ORDER NUMBER
Parkec ti 35-60000972 57044
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:141.1 L 11 m Street
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Carmel,IN 46031 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
8/9/2022 08/10/22 29098 ,n����& & Q 2022(Partial)Weekly Water Sample Testing for Midtown Spray
Plaza-7/27/22-9/30/22
Environmental Laboratories Inc MCC- East
P.O. Box 968 1235 Central Park Drive East
VENDOR Madison, IN 47250 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
10.000 each Weekly sample anaylsis $ 30.000 $ 300.00
GLAccount# 1125422-4238900
Send Invoice To:
$ 300.00
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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 57044 VII=::INID4:111 COPY