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FEDERAL• Lia CERTIFICATE NO.003120155 002 on0 PURCHASE ORDER NUMBER
EXCISE TAX EXEMPT
Park ec ti 35-60000972 57365
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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
11/17/2022 11/20/22 29878 372646 Aquatic Water Feature Replacement Parts
Vortex MCC- East
1420 Valwood Pkwy Suite 205 1235 Central Park Drive East
VENDOR Carrollton, TX 75006 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Cattail Seeflow Head (Orange) $ 576.000 $ 576.00
2.000 each Seeflow Water Flower(Blue) $ 529.000 $ 1,058.00
6.000 each Gasket Fixation $ 6.000 $ 36.00
1.000 each Freight $ 120.000 $ 120.00
GLAccount#1125404-4350000
Send Invoice To:
$ 1,790.00
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 Sean Robert
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Recreation Services Manager-Aquatic Ops
CONTROLLER
DOCUMENT CONTROL NO. 57365 VIO.I.INID4:111 COPY