37368 Irving Materials • INDIANA RETAIL TAX EXEMPT PAGE 1 CERTIFICATE NO.003120155 002 0
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C I j[ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37368
35-60000972
�=i ^ ` �=n::? ^, :. THIS NUMBER MUST APPEAR ON INVOICES,PUP
tit.=_... I Lt�t'L--_ _ _ 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
7/23/2014 07/23/14 2349 00352765 gravel/stone for Maintenance office back parking and
equipment storage area
IMI Irving Materials Inc Parks Maintenance
P.O. Box 7048 Group#2 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46207-7048 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
5.000 each #53 stone for parking area on back of maintenance property. $270.0000 $ 1,350.00
Area will be designated. (Unit of measure in tri-axles)
1.000 each Delivery Charge $430.0000 $430.00
GLAccount# 1125401-4236000
Send Invoice To:
$ 1,780.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ,,��yy ,rr,,,, ACCOUrNT� I PROJECT l PROJECT ACCOUNT f AMOUNT
1 125 .-• �IEscgcoo 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 Courtney Schlaegel 4 CJt „4i�._ .\ �I R-1 11
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 r !1 A ` 11..
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37368 VEND R Cf)1.,'`