HomeMy WebLinkAbout57650 HILLYARD 0, 1,n„ INDIANA RETAIL TAX EXEMPT PAGE 1
City.
qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 57650
35-60000972
ONE CIVIC SQUARE
C.ARMEL,IN DIAILIA 46O 32_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
2/8/2023 02/11/23 30524 359478 Park Cleaning Supplies
Hillyard Parks Maintenance
P.O. Box 803658 1427 E. 116th Street
VENDOR Kansas City, MO 64180-3658 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each Hillyard,Arsenal®Green Select®Glass Cleaner, Arsenal® $40.240 $ 80.48
One Dispenser 2.5 Liter Bottle ITEM#HIL0082725
2.000 each Hillyard,Arsenal®Green Select®Bathroom Cleaner, Arsenal® $ 37.200 $ 74.40
One Dispenser 2.5 Liter Bottle ITEM#HIL0082925
2.000 each Hillyard,Arsenal®Super Shine-All®Hard Floor Cleaner, $46.580 $ 93.16
Arsenal®One Dispenser 2.5 Liter Bottle ITEM# HIL0080825
2.000 each Hillyard,Arsenal®One PD -Portable Dispenser Kit ITEM# $26.000 $ 52.00
H I L99705
1.000 each Delivery $40.000 $40.00
GLAccount# 1125401-4238900
Send Invoice To:
$ 340.04
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 Cody McCollum
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Parks Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 57650 V N ID 0 IR COIF Y