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HomeMy WebLinkAbout57399 MATTINGLY CONCRETE INC INDIANA RETAIL TAX EXEMPT PAGE 1 oe City qy r CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 57399 35-60000972 ONE crnc SQUARE CARMEL,INDIAILIA 4E032.2 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 12/1/2022 11/27/22 29935 00351005 Central Park East-Concrete Sidewalk Replacement Mattingly Concrete Inc. Parks Maintenance 10620 Bellefontaine St. 1427 E. 116th Street VENDOR Carmel, IN 46280 SHIP Carmel, IN 46032 TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1.000 each slab replacement-demo and haul away main section in front of $4,750.000 $4,750.00 restroom building 1.000 each install 3 ADA mats centered at ADA parking $ 1,123.080 $ 1,123.08 1.000 each environmental fees $225.000 $225.00 1.000 each fuel surcharge $ 350.000 $ 350.00 1.000 each Additional work to cover across entire entryway $2,400.000 $2,400.00 GLAccount# 1125404-4350400 Send Invoice To: Sent It:t '� C;IIty t rlene° $ 8,848.08 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. 57399 VII=::IN 0 COIPY