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City
� CERTIFICATE NO.003120155 002 0of PURCHEORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-80000972 50352
ONE CHIC SQUARE
CARMEL,iND14.NA 45032-2584 ,THIS R NUMBER
MEMO,PACKING INVOICES, P
VOUCHESHIPPING 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
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- mew�endor-n .___ .-
9/15/2017 09/13/17 13947 ( (W-9 attached) Prescribed Burn(5282 Ivy Hill Drive)
Turner Forestry Incorporated 61 1"2..3 Parks Maintenance
8464 S 950 E 1427 E. 116th Street ATTN:Courtney
VENDOR Upland,IN 46989 TOP Carmel, IN 46032
CONFIRMATION I BLANKET ., PAYMENT
CONTRACT pAYMENiTERMS FREIGHT
1
1
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Proposal for prescribed burn $3,500.0000 $3,500.00
GLAccount#1125417-4350400
Send Invoice To:
$3,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT l PROJECT ACCOUNT , AMOUNT
PAYMENT
• AIP 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 UNOBUGATED 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 Michael Allen
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 89,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50352 VENDOR COPY r� i.IN4
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