37490 IMI Irving MaterialsCity 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
37490
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER. DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED 1 REQUISITION NO.
VENDOR NO.
DESCRIPTION
8/22/2014
08/27/14
2727
Change: Additional gravel /stone for Maintenance office back
parking and equipment storage area
IMI Irving Materials Inc
P.O. Box 7048 Group # 2
VENDOR Indianapolis, IN 46207 -7048
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN. Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
6.000
1.000
Send Invoice To:
each
each
#53 stone for parking area on back of maintenance properly.
Area will be designated. (Unit of measure in tri- axles)
Approximate Delivery Charge
GLAccount# 1125401-4236000
PLEASE INVOICE IN DUPLICATE
UNIT PRICE I EXTENSION
$ 270.0000
$ 516.0000
$ 1,620.00
$ 516.00
$ 2,136.00
DEPARTMENT
ACCOUNT
//5-4-,R,30)000
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. C.0.0 SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, AC FS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PROJECT I 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
AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Dawn Koepper jaa,,A c r,p � q h it'f
TITLE P w' Q
CLERK- TREASURER
DOCUMENT CONTROL NO. 37490 VENDOR COPY