HomeMy WebLinkAbout57091 STEEPLETON BILLIARDS INDIANA RETAIL TAX EXEMPT PAGE 1
CaiMe • C ay
RTIFICATE NO.003120155 002
FEDERAL EXC SE TAX EXEMPT O PURCHASE ORDER NUMBER
Parkec ti 35-60000972 57091
'�
141.1 L 11 m 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
8/19/2022 08/22/22 29195 375925 Monon Blvd Plaza Pool Table Cover Replacement
Steepleton Billiards Parks Maintenance
5347 N Keystone Ave 1427 E. 116th Street
VENDOR Indianapolis, IN 46220 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each 8" Cosmopolitan All Weather Outdoor Pool Table Cover- $295.000 $295.00
Fabric Color Camel
1.000 each Installation Fee $ 355.000 $ 355.00
1.000 each Shipping $42.000 $42.00
GLAccount# 1125422-4350000
Send Invoice To:
$ 692.00
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 Danny Griffin
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE PNR Foreman
CONTROLLER
DOCUMENT CONTROL NO. 57091 VII::::NIDOR COPY