HomeMy WebLinkAbout100856 BLUE GRASS FARMS, INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f III . I1r1IT1r1el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100856
ONE CIVIC SQUARE _ 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 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
10126/2017 00351585
BLUE GRASS FARMS, INC. Dept of Community Service
!VENDOR 1915 W.53RD STREET SHIP 1 Civic Square
TO
Carmel, IN 46032-
ANDERSON,IN 46013-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
20156
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-624.00
1 Each Trees $1,380.00 $1,380.00
Sub Total $1,380.00
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
r DEPARTMENT ACCOUNT _L PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,380.00
SHIPPING INSTRUCTIONS ANP 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --
Mike Hollibaugh �0
TITLE Director
CONTROL NO. 100856 CLERK-TREASURER _