51778 IMI IRVING MATERIALS INC INDIANA RETAIL TAX EXEMPT PAGE 1
City
� CERTIFICATE N0.003120155 002 0 Io Carmel e PURCHASE ORDER NUMBER
L+4 FEDERAL EXCISE TAX EXEMPT 51778
35-60000972
CUE CR IC SQUARE
CARMEL,RIMA3 4 45032-2.SS4 THIS NUMBER MUST APPEAR ON INVOICES.AlP
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
8/1/2018 08/06/18 17301 00352765 Stone for surfacing East Woods trails
IMI Irving Materials Inc Parks Maintenance
P.O. Box 7048 Group#2 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46207-7048 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
20.000 each #12 Stone PRA Ledges(per ton,delivered) $24.3500 $487.00
GLAccount#1125404-4239000
Send Invoice To:
$487.00
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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 51778 VENDOR COPY ��.