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` CERTIFICATE NO.003120155 002 0
'� jj PURCHASE ORDER NUMBER
,City Ca FEDERAL EXCISE TAX EXEMPT 37955
35-60000972
- •� - THIS NUMBER MUST APPEAR ON INVOICES,NP
--' - `-- 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
1/7/2015 01/11/15 3882 Founders Park Snow Removal
Mr. B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46062 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE l DESCRIPTION 1 UNIT PRICE l EXTENSION
1.000 each January 3 -April 19, 2015 Snow Removal 4 Dates of Service $ 6,416.0000 $ 6,416.00
NTE
GLAccount# 1125408-4350400
Send Invoice To:
$6,416.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ] ACCOUNT I PROJECT l PROJECT ACCOUNT 1 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
• SI-IIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER,
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUSK APPEAR ON AI.I.S!EPPING LAPELS. ORDERED BY Dawn KDepper itc ,K���/4 C! _
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �`�-'��"
AND ACTS AMENDATORY'THEREOF AND SUPPLEMENT TIII=-RETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37955 VENDOR COPY