52181 IMI IRVING MATERIALS INC INDIANA RETAIL TAX EXEMPT PAGE 1
City
CERTIFICATE N0.003120155 002 0
ICannel
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52181
35-60000972
011E CIVIC SQUARE
CARMEL.31014,11A 46032-25 THIS NUMBERMUST APPEAR ON VOUCHER,DELIVERY MEMO,PACKING SEP,
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
11/29/2018 12/03/18 18250 00352765 Bin blocks for material storage bays
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 EXTENSION
47.000 each Concrete Blocks 2'x2'x6' $20.0000 $940.00
GLAccount#1125413-4235000
Send Invoice To:
$940.00
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.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER. \\EIC)
. 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 \�
\kKCLERK-TREASURER
DOCUMENT CONTROL NO. 52181 VENDOR COPY