HomeMy WebLinkAbout50132 PPLIED ECOLOGICAL SERVICES, INC. INDI
T
X
PT
City ofC
Cl RTlKATE NOIL0081 0155M0:2 0 PUGS t
arme I
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50132
3540000972
ONE CNC SQU.AR
CARMEL THIS NUMBER MUST APPEAR ON INVOICES.NP
VOUCI-ER.DEUVERY MEMO.PACKING SUPS.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL•1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/26/2017 07/31/17 13461 371250 Wetland Delineation at West Park
Applied Ecological Services, Inc. Administration Office
17921 Smith Road PO Box 256 1411 E. 116th Street
VENDOR Brodhead,WI 53520 So P Carmel, IN 46032
CONFIRMATION BLANKIET CONTRACT PAYMENT TERMS FREIGHT __..
QUANTITY UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
$1.0000 each NTE-Wetland Delineation at West Park Proposal 15,000.000 $15,000.00
GLAccount#1060000-5023990
Send Invoice To:
$ 15,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT ' PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MAD!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 UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUI.EERMUST APPEAR ONAU-SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE `
CLERK-TREASURER `
DOCUMENT CONTROL NO. 50132 V_P'DOc.COFY V,