37327 Landscape StructuresCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
37327
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/14/2014
07/06/14
2170
Playground repair parts
Landscape Structures Inc.
601 7th Street South
VENDOR Delano, MN 55328
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
I
EXTENSION
4.000 each
1.000 each
48.000 each
2.000 each
2.000 each
1.000 each
Send Invoice To
5 -12 year old swing seats - Item #142803
Toddler swing seats item #142805
3/16" Proguard swing chain - no rubberized coating - Item
#173877
Upper Spring Pin Item #121133
1/4" x 2" Spring Pin
Shipping
GLAccount# 1125418- 4237000
v
PLEASE INVOICE IN DUPLICATE
$ 85.00
$ 300.00
$ 4.25
$ 11.00
$ 1.65
$ 160.00
$ 340.00
$ 300.00
$ 204.00
$ 22.00
$ 3.30
$ 160.00
$ 1,029.30
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
¥a37000
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. C.0.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1415
AND ACTS ANIENDATORY THEREOF AND SUPPLEMENT THERETO.
PAYMENT
AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER 15 MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED.
- I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK - TREASURER
DOCUMENT CONTROL NO. 37327 VENDOR COPY
Courtney Schlaegel