HomeMy WebLinkAbout56660 DELTA FOUNTAINS - AMENDED INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO 003120155 002 0
__ __ PURCHASE ORDER NUMBER
's '' FEDERAL EXCISE TAX EXEMPT
&RVra}Lion 35-60000972 56660
Parks
1411 E 1161'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
5/12/2022 05/11/22 28140 Replacement Lights for Midtown Spray Plaza
Delta Fountains MCC-West
11494 Columbia Park Drive W Suite 4 1235 Central Park Drive East
VENDOR Jacksonville, FL 32258 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Net30
QUANTITY 1 II UNIT OF MEASURE DESCRIPTION UNIT PRICE l i EXTENSION
--- . ___. ._........
3.000 each Item#DF-UL316R-27- RGB Ring Light $978.940 $2,936.82
1.000 each Shipping $40.000 $40.00
GLAccount# 1030000-
Send Invoice To:
$2,976.82
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT C PROJECT 1 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 Eric Mehl /0®I • 2
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Recreation&Facilities Director
CONTROLLER
DOCUMENT CONTROL NO. 56660 VENDOR COPY