HomeMy WebLinkAbout58948 MELLOW MUSHROOM PIZZA BAKERS INDIANA RETAIL TAX EXEMPT PAGE 1
CaiMe • C ay
RTIFICATE NO.003120155 002
FEDERAL EXC SE TAX EXEMPT O PURCHASE ORDER NUMBER
Parkec ti 35-60000972 58948
'
141.1 L 11 m Strad
THIS NUMBER MUST APPEAR ON INVOICES,A/P
Car eI,IN 46032 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
12/7/2023 12/12/23 33335 375637 Culture Committee Secret Santa Holiday Party-Dec. 15,2023
Mellow Mushroom Pizza Bakers MCC- East
2340 E. 116th Street 1235 Central Park Drive East
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
10.000 each Large Cheese Pizza $ 12.990 $ 129.90
10.000 each Large Pepperoni Pizza $ 15.490 $ 154.90
3.000 each Small Gluten Free Crust/Cheese $ 8.990 $26.97
GLAccount# 1081099-4239099
Send Invoice To:
$ 311.77
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 Jylian Riches
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Marketing &Communications Director
CONTROLLER
DOCUMENT CONTROL NO. 58948 VO::::INDOR COPY