HomeMy WebLinkAbout57760 LANDSCAPE STRUCTURES INC - REVISED INDIANA RETAIL TAX EXEMPT PAGE 1
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yar Ili 1 o CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 57760
35-60000972
ONE crnc SQUARE
C.ARMEL,IN DIANA 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
4/12/2023 03/07/23 31110 368436 Change: Playground Parts-Westermeier Commons
Landscape Structures Inc. Parks Maintenance
601 7th Street South 1427 E. 116th Street
VENDOR Delano, MN 55328 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
14.000 each 132626 BHCS 61p 5/16x7/8i SST $ 1.810 $25.34
2.000 each 182781 curb deck ramp ext $ 61.000 $ 122.00
1.000 each 163641 deck ramp ext pvc $ 541.000 $ 541.00
1.000 each 182782 hdw pkg deck ramp ass ext $ 51.000 $ 51.00
1.000 each 182783 inst deck ramp ext $ 0.000 $ 0.00
7.000 each 115347 roller assy $ 89.000 $ 623.00
7.000 each 1000362 washer flat 3/8 sst $ 0.490 $ 3.43
1.000 each Freight $ 335.000 $ 335.00
GLAccount# 1125404-4239000
Send Invoice To:
$ 1,700.77
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. 57760 VENDOR COPY