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RTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
rec ti 35-60000972 57720
w '�
:14111 L 1.1 m.Mrest.
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Car eI,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
2/22/2023 02/26/23 30673 377060 Shelters for West Park
RCP Shelters, Inc. Administration Office
2100 SE Rays Way 1411 E. 116th Street
VENDOR Stuart, FL 34994 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Net30
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2.000 each Model#TS-CL1630-0406-TG -Custom 16'x30" Steel $ 30,990.000 $ 61,980.00
Clerestory Gable Shelter with T&G Decking
1.000 each Model#TS-CL3034-0406-TG -Custom 30'x34" Steel $ 68,785.000 $ 68,785.00
Clerestory Gable Shelter with T&G Decking
1.000 each Cooperative Purchasing (GoodBuy) Discount $-13,076.500 $-13,076.50
1.000 each Freight Included $ 0.000 $ 0.00
GLAccount# 1060000-4460708
Send Invoice To:
$ 117,688.50
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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 57720 COPY