HomeMy WebLinkAbout58489 HILLYARD INDIANA RETAIL TAX EXEMPT PAGE 1
City l'e
qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 58489
35-60000972
ONE CIVIC SQUARE
CARMEL,IN D'ANA 4611S2-2 n4i, 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
7/28/2023 08/01/23 32319 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
13.000 each Hillyard,Arsenal®Green Select®Glass Cleaner,Arsenal® $40.240 $ 523.12
One Dispenser 2.5 Liter Bottle ITEM#HIL0082725
GLAccount# 1125401-4238900
17.000 each Hillyard,Arsenal®Super Shine-All®Hard Floor Cleaner, $46.580 $ 791.86
Arsenal®One Dispenser 2.5 Liter Bottle ITEM#HIL0080825
19.000 each Hillyard,Arsenal®One PD -Portable Dispenser Kit ITEM# $26.000 $494.00
HIL99705
GLAccount# 1125423-4238900
Send Invoice To:
$ 1,808.98
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.OD 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 Operations Manager-Custodial
CONTROLLER
DOCUMENT CONTROL NO. 58489 VENDOR COIII:3Y