50854 MIRACLE RECREATION EQUIPMENT •
INDIANA RETAIL TAX EXEMPT 1PAGE 1
CERTIFICATE NO 003120155 002 0 ,_
( ity
of
..C!armel
..._I. ._.....,_..w_.._............. ___ PURCHASE ORDER ORDER NUMBER
FEDERAL-EXCISE TAX EXEMPT 50854
35-60000972
-ONE CNIC'S'OUARE . - ... -
CARMEL,.INDLANA 48032-2584 ;'THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I SHIPPING LABELS AND ANY CORRESPONDENCE.
1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE I DATE REQUIRED 1 REQUISITION NO. 1VENDOR NO. DESCRIPTION
2/1/2018 •02104/18 15201353472 River Heritage playground replacement parts
Miracle Recreation Equipment C Parks Maintenance
PO Box 204757 1427 E. 116th Street ATTN:Courtney
VENDOR Dallas,TX 75320-4757 role Carmel, IN 46032
CONFIRMATIONt BLANKET i CONTRACT PAYMENT TERMS FREIGHT
I
I
QUANTITY I UNIT OF MEASURE .m.m.. „ _ DESCRIPTION UNIT PRICE 1,. _ EXTENSION
8.000 each Swing hanger w/clevis 5"OD top rail $68.0000 $544.00
1.000 each Freight $43.0000 $43.00
GLAccount#1125418-4237000
Send Invoice To:
$587.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT
• MP 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - - - - \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE _ V
CLERK-TREASURER
DOCUMENT CONTROL NO. 50854 VENDOR COPY