HomeMy WebLinkAbout58544 AYERS BACKFLOW CHECK SERVICE
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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
58544
35-60000972
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 DATEDATE REQUIREDREQUISITION NO.VENDOR NO.DESCRIPTION
359344
8/14/202307/29/2332272Service - Parks 2023 Annual Backflow Testing
Ayers Backflow Check Ser Parks Maintenance
20 Bennett Rd 1427 E. 116th Street
SHIP
Carmel, IN 46032Carmel, IN 46032
VENDOR
TO
CONFIRMATIONBLANKETCONTRACTPAYMENT TERMSFREIGHT
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
9.000eachBackflow Testing at address PNR office, West Park, $ 45.000$ 405.00
Meadowlark, Carey Grove, Inlow (2), Founders, River Heritage,
Flowing Well
1.000eachBackflow Testing at West Park 4"$ 55.000$ 55.00
GLAccount# 1125401-4350100
11.000eachBackflow Testing at South Trail Head, North Trail Head, 443 $ 45.000$ 495.00
Monon BlVD, 209 Monon BLVD, 581 Monon BLVD, 417
Monon BLVD, 194 W. Elm, Monon Green BLVD, 239 Monon
BLVD,Carmichael Public Restroom, Rotary
1.000each194 W Elm Repair Labor$ 60.000$ 60.00
GLAccount# 1125423-4350100
Send Invoice To:
$ 1,015.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
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
AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS
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.
Cody McCollum
ORDERED BY
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Parks Operations Manager - Custodial
TITLE
CONTROLLER
VENDOR COPY
DOCUMENT CONTROL NO.58544