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PURCHASE ORDER NUMBER
CERTIFICATEINDIANA NO.RETAI 003120155TAEEMPT 002 0
rty Ps 'ar
f CY k
P FEDERAL EXCISE TAX EXEMPT 54560
35-60000972
ONE.CIVIC SQUA.R.E..
CARMEL,INDL&NA» 46d32-25,84 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
6/25/2020 06/23/20 23487 353483 Monon/Carmel Hotel Mowing for 2020 Only
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
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
19.000 each Weekly Mowing Outside of Contract $40.000 $ 760.00
GLAccount# 1125416-4350400
Send Invoice To:
$ 760.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 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.OD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Andrew Burnett
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54560 VENDOR COPY
