51390 JAMES BALLENGER BUILDING & STONE f INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
Cof ar���e I FEDERAL EXCISE TAX EXEMPT 51390
35-60000972
I�I'IC
cmc SOW.RE
CARMEL,'N-SIAIIA=AC32-25 ;:
THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE,REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/22/2018 05/07/18 16177 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 I EXTENSION
20.000 ton #12 crushed limestone for the trails at Central Park East $30.0000 $600.00
including delivery
0.310 ton Estimated Stone Variable Overage $30.0000 $9.30
GLAccount#1125401-4236000
Send Invoice To:
$609.30
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• SHIP REPAID. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
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. 51390 VENDOR COPY `,(�