HomeMy WebLinkAbout30279 Tiffany's Lawn & Garden EXEMPT
City If ty o II Carmel, sane If CERTIFICATE MO TA X20155 0 2 0 PAGE
��a/ 1t ql' JJJiii °m�/ 111SSS PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30279
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS ANO ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/14/11 M000624 0 Insulation for Founders Park Restroom
Tiffany's Lawn Garden Maint E
4931 Robison Rci r1� Q SHIP f~ 7:71 r VENDOR Ind icl.v�applls, IN 4�o I1�i 1 TQ .j pEr. 0i1 Ei
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CON9RMATION BLANKET CONTRACT PAYMENT TERMS L iPREIHP
QUANTITY UNIT OF MEASURE r DESCRIPTION UNIT PRICE I EXTENSION
40 Bags 4cu ft bags of perlite block fill insulation $1t25 $5
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Send Invoice To
S 5 50. D D
45.7.0.00 55b
PLEASE INVOICE IN DUPLICATE L l
eCA L`C. ..a,) I_I PCII LT.c-C_
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
1125 -4 -08- 4235000- Building Material PAYMENT
AP VOUCHER CANNOT BE APPROV:D FOR PAYMENT UNLESS THE P
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE MW
VOUCHER HAS THE PROPER SWOLN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE 151N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT D PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.0.0. SHIPMENTS CANNOT BE ACCEPTEP. ORDERED BY Todd Synder DK e 7 flu fa WI
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND AC15 AMENDATORY THEREOF AND SUPPLEMENT THERETO
30279 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY