HomeMy WebLinkAbout57546 RECREATION INSITES LLC INDIANA RETAIL TAX EXEMPT PAGE 1
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yar IP 1 o CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 57546
35-60000972
ONE CIVIC SQUARE
C.ARMEL,INDIANA46032_2 E,4 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
1/11/2023 01/02/23 30203 376356 West Park(Behind Perelman Pavilion) Playground Parts
Recreation InSites, LLC Parks Maintenance
12237 Westmorland Dr. 1427 E. 116th Street
VENDOR Fishers, IN 46037 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each #RB173004-01 - Robinia repair kit $ 573.000 $ 573.00
4.000 each #S100-42- Do-Nut id top transparent 12mm $ 1.500 $ 6.00
4.000 each #A10089-18-Labeling ring $ 0.400 $ 1.60
4.000 each #A100090-06- Do-Nut base 10mm flat large $2.100 $ 8.40
4.000 each #A100-31 - Do-Nut 10mm top black $ 0.400 $ 1.60
4.000 each #A10080-06-Do-Nut basel0mm flat a10039 $ 0.500 $2.00
10.000 each #A173041-52-Shackle m6 small short $ 5.700 $ 57.00
10.000 each A173026-06-Plug no 46079 $2.000 $20.00
1.000 each Freight $ 319.000 $ 319.00
GLAccount# 1125419-4239000
Send Invoice To:
$ 988.60
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. 57546 VII=::INIDO 4:;4: IF Y