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City of CIairrrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103363
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP-
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
12/5/2019 372921 Gloves for Urban Forestry Personnel
TREESTUFF.COM Dept of Community Service
VENDOR 6565 COFFMAN ROAD . SHIP 1Civic Square
TO
Carmel, IN 46032-
INDIANAPOLIS, IN 46268
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42202
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE :: EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 42-390.12
1 Each Urban Forestry Supplies $159.96 $159.96
Sub Total $159.96
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Send Invoice To: _ tt-�
Dept of Community Service
1 Civic Square _ :�- 6
Carmel, IN 46032- 441
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $159.96
SHIPPING INSTRUCTIONS *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
'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
TITLE Director
CONTROL NO. 103363 CLERK-TREASURER
