HomeMy WebLinkAbout58776 HILLYARD 0, 1,n„ INDIANA RETAIL TAX EXEMPT PAGE 1
City.
qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 58776
35-60000972
ONE CIVIC SQUARE
C.ARMEL,IN DIAILIA 46O 32_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
10/16/2023 10/17/23 32917 359478 Park Cleaning Supplies Week of 10/16/23
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
3.000 each ITEM#HIL0039003 Hillyard, Affinity®, Green Select®Foam $ 65.900 $ 197.70
Soap,Affinity®Manual Dispenser 1250 mL Cartridge(Case of
4)
12.000 each HIL22281 HILLYARD,AFFINITY, 1,250ML, BLACK, MANUAL $ 0.000 $ 0.00
DISPENSER(Free of charge with soap purchase)
4.000 each HIL0080825 Hillyard, Arsenal®Super Shine-All®Hard Floor $46.580 $ 186.32
Cleaner, Arsenal®One Dispenser 2.5 Liter Bottle
2.000 each HIL0082725 Hillyard, Arsenal®Green Select®Glass Cleaner, $40.240 $ 80.48
Arsenal®One Dispenser 2.5 Liter Bottle
GLAccount# 1125423-4238900
Send Invoice To:
$464.50
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 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. 58776 V N ID 0 IR COIF Y