30621 Park 'n Pool Corporation C 7 (n} ft Carmel CERTIFICATE NO 003X201
C 02 0 PURCHASE ORDER NUMBER
A U�' FEDERAL EXCISE TAX EXEMPT 30621
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, PIP
CARMEL. INDIANA 46032-2584 VOUCHER, DELIVERY LMEMO, 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
4/2/12 1 N/A Rocking Chairs for Founders Park
Park n Pool Corporation Carmel Clay Parks Recreation
40 Park Place SHIP 1427 E. 116th Street
VENDOR Lexington, VA 24450 TO Carmel, IN 46032
GOUFImeAIIDR 1 BLANKET CONTRACT PAYMENT TERMS 1 FREIGHT
CUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4 EA Polywood Seasheel Adirondack Rocker Black 340.00 1,360.00
1 EA Shipping costs 149.00 149.00
.i L/
t'1)
4 s; 1t I Y LL f I
t. 1
Send Invoice To
1,509.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
106 5023990 Other Expenses PAYMENT
A/P VOUCHER CANNOT BEAPPROVID FOR PAYMENT UNLESS THE P.O
NUMBER IS MADE A PART OF HE V)UCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORI AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS IN UNOELJGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER.
SHIP REPAID
C. D. D .S1IP:J,ENTSCAIJI:OTBEACCEPTED, ORDERED By Michael K Klitzing DK y3
PURCHASE ORDER NUMBER MUST APPEAR ON ALL T-/ 1Z
LLLL
SHIPPING LABELS
THIS ORDGF ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 'I9 I5 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
30621 CLERK TREASURER
VENDOR COPY
DOCUMENT CONTROL NO.