51439 JAMES BALLENGER BULLDOZING & STONE INDIANA RETAIL TAX EXEMPT PAGE 1
armel CERTIFICATE NO.003120155 002 0
tyo I ,�! 1 '�1 1 `1:L'" ? PURCHASE ORDER NUMBER
JJ.. J. LLL1 L Ll\\// FEDERAL EXCISE TAX EXEMPT 51439
35-60000972
011CMC SQUARE
CA,RI.(_L if jOV IA 46C'2-2534 THIS NUMBER MUST APPEAR ON INVOICES,AlP
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
5/29/2018 05/28/18 16454 368711 Stone for trails at Central Park East
James Ballenger Bulldozing&Stone Parks Maintenance
9055 Van Dyke Road 1427 E. 116th Street ATTN: Courtney
VENDOR Laurel, IN 47024 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
40.000 ton #12 crushed limestone for the trails at Central Park East $30.0000 $ 1,200.00
including delivery
0.500 ton Estimated Stone Variable Overage $30.0000 $ 15.00
GLAccount#1125401-4236000
Send Invoice To:
$ 1,215.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP 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 Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 51439 VENDOR COPY X3\ :64°