51810 LESTER RECREATION DESIGNS INDIANA RETAIL TAX EXEMPT PAGE 1
0 i CERTIFICATE NO.003120155 002 0
�1 CarnielPURCHASE ORDER NUMBER
City FEDERAL EXCISE TAX EXEMPT 51810
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 46032-2584 - THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
c\R
8/8/2018 08/13/18 17365 360892 Safety surface repair materials
V.,
Lester Recreation Designs Parks Maintenance
751 Nonchalant:Court 1427 E. 116th Street ATTN:Courtney
VENDOR Greenwood, IN 46142 SHHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each LRD-36648(P5) 1-3 green epdm rubber granules 55 lb bag $75.9500 $75.95
GLAccount#1125418-4237000
1.000 . each s LRD-SPT3480 5 gal pail Aliphatic Binder $255.9500 $255.95
1.000 each LRD-98138 Black Rubber Buffings 4-8mm-50Ib bag . $39.9500 $39.95
1.000 each shipping $ 185.0000 $ 185.00
1.000 each discount $-37.8500 $-37.85
GLAccount#-1125419-4237000
Send Invoice To:
$519.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT '`ACCOUNTI PROJECT I PROJECT ACCOUNT I 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 1945.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 51810 VENDOR COPY