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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
58545
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
8/14/202308/14/2332414Chemicals for Inlow Splash Pad
359365
Spear Corp MCC - East
P.O. Box 31235 Central Park Drive East
SHIP
Roachdale, IN 46172Carmel, IN 46032
VENDOR
TO
CONFIRMATIONBLANKETCONTRACTPAYMENT TERMSFREIGHT
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
4.000eachAcid Magic 15 gallon drum$ 242.730$ 970.92
9.000each15 gallon sodium hypochlorite$ 110.350$ 993.15
1.000eachShipping split with Midtown and MCC Indoor$ 110.430$ 110.43
GLAccount# 1125411-4238900
Send Invoice To:
$ 2,074.50
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.
Tim Millikan
ORDERED BY
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Facilities Maintenance Coordinator
TITLE
CONTROLLER
VENDOR COPY
DOCUMENT CONTROL NO.58545