HomeMy WebLinkAbout54236 Revised MR B'S LAWN MAINTENACE INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
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PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT
54236
35-60000972
ONE CIVIC OU RE
ML,, IN N „„ �' _ ��„ 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
8/26/2020 03/10/20 23969 Change: 'arks Turf Chemical Treatments 2020
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Mr. B's Lawn Maintenance Inc. Pa°"°� °` aintenance
5225 East 225th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46062 TOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
$ 1.000 each 2020 Park Turf Chemical Treatments 18,280.170 $ 18,280.17
$ 1.000 each Optional Insecticide or Grub Treatments 930.000 $ 930.00
$ 1.000 each 2020 5th Amendment- Monon Blvd Chemical Treatments 960.000 $ 960.00
GLAccount# 1125401-4350400
New Total 20,170.17
Payments Made 11,628.22
Current Balance : 7,581.95 y
Amount of Change : + 960.00 8,541.95
New Balance: 8,541.95 New Balance.
Send Invoice To:
New ORIGINAL Balance:_
20,170.17
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.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54236 V IF;;;III 1.. R COI,,,