HomeMy WebLinkAbout53603 MR B'S LAWN MAINENANCE INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE O. TAX EXEMPT
PT 0
I � ' mei PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53603
35-60000972
014E MC SQUARE
CARMEL.IiI lAit.4 0 Z-25 3- THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DEUVERY MEMO,PACKING SUPS,
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
9/27/2019 10/02/19 21547 353483 Fall 2019 Founders Sport Fields Turf Restoration
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 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Over Seed with HGT 300pd per Application $ 1,866.480 $1,866.48
1.000 each Aeration $ 1,200.000 $ 1,200.00
GLAccount#1125408-4350400
Send Invoice To:
$3,066.48
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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
• 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 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE \vAl
CLERK-TREASURER
DOCUMENT CONTROL NO. 53603 VENDOR COPY s