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1\ y 0 1{ lk Carmel Ii It I! Yana IF LLL���... CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
�°m/ lL V' ill' FEDERAL EXCISE TAX EXEMPT 30178
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER. DELIVERY MEMD. 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
11/8/11 M000601 353485 Trim trees and remove debris at Carey River Park, Mulch River
Mr. B's Lawn Maintenance Maint lirgr, 7., 11, W
5225 EAST 225 SE• SHIP
VENDOR N esville, IN 41.00142 TO
NOV 0 R 2011 li
137:
CONFIRMATIDN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
1 EA Trim low hanging trees and remove debris at River $1,500.00 $1,500.00
Heritage
1 EA Trim low hanging trees and remove debris at Carey $2,000.00 $2,000.00
Grove
1 EA Mulch 27 yards at River.- Heritage- $1,872.00 $1,872.00
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Send Invoice To:
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$5,372.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT l AMOUNT
1125 -4- 03/18 4350400- Grounds Maintenance PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO
NUMBER IS MADE A FART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER IIAS THE PROPER SWORN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE '51N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Rebecca Schmiesing DK _,t*. G -III
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS H945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30178 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY