50723 AQUATIC CONTROL INDIANA RETAIL TAX EXEMPT PAGE 1
••� :• .;; CERTIFICATE N0.003120155 002 0
1
t -•- .•.•-••- PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 50723
ONE CIVIC-SWAM032- . THIS NUMBER MUST APPEAR ON INVOICES,A/P
{AitT1EL} t1hN/9K 45032 2584. VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 �..,..:...__..._.
PURCHASE ORDER DATE i DATE REQUIRED REQUISITION NO. i VENDOR N0. 1 DESCRIPTION
113/2018 }01/03118 14895 `00350893 Rotary compressor Maint Kits for Central Park lagoon.
Aquatic Control Parks Maintenance
P.O.Box 1002 1427 E. 116th Street ATTN:Courtney
VENDOR Seymour, IN 47274 SHIP
HP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
,..,,_„,, ,„________ „„_,,„,„.„.„,_, ,,, /
QUANTITY I UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE 1 EXTENSION
2.000 each Maint Kit#LLG479-3/4HP 120V Quiet rotary vane kit w/intake $119.5600 $239.12
filter and pressure relief
1.000_ each Approximate Shipping $ 15.0000 $15.00
GLAccount#1125404-4350000
Send Invoice To:
$254.12
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT PROJECT ACCOUNT 1. 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
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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1905
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE _. . . A
CLERK-TREASURER A
•
DOCUMENT CONTROL NO. 50723 VENDOR COPY