HomeMy WebLinkAbout58973 RECREATION INSITES LLC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO 003120155 002 0
i f carnie1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 58973
35-60000972
ONE CIVIC SQUARE
E MEMO,
CARMEL,INDIANA a a32-zss: THIS NUMBERR MUST APPEAR A INVOICES,
VOUCHER, LIVERY 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
12/14/2023 12/18/23 33374 376356 Replacement Parts for Carey Grove Playground
Recreation InSites, LLC Parks Maintenance
12237 Westmorland Dr. 1427 E. 116th Street
VENDOR Fishers, IN 46037 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE C DESCRIPTION UNIT PRICE EXTENSION
2.000 each RPLC-MA-80BLK-33 Standard mallets w/33"cable and $ 109.000 $218.00
hardware
1.000 each Freight $ 10.900 $ 10.90
GLAccount#1125403-4239000
Send Invoice To:
$228.90
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AlP 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 Nell Whitehead {� '} I ,
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Parks Operations Manager-Maintenance
CONTROLLER
DOCUMENT CONTROL NO. 58973 VENDOR COPY