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Of u:ar e J CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Y
FEDERAL EXCISE-60000972 EXEMPT / c�•
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
2, '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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. , VENDOR NO. DESCRIPTION
?j'07 4 ' tZ-
&gr(. �i i 2LE 401-4-4-5 c, Cd r�� �►; �cr�h.9�
VENDOR / SHIP 6 v C s
Q. VfdJ-o2i TO , r
0 Li11IC D .
4 itn itod 1 i s,T7-10 4-0c,4r Ogri , I-0 `I(pao
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
X
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
S e 2 A TT 14C.-!`lLOL b 11
,w; -;-a exe ..-�. i a3,.0) .,
. ... \ \ 1 ,,,'"\.))
4 ''
i 4446 .,..../:.' . .4e - .
* i 0 0;1 J =','■ : * S
a .
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7ha `" ..>... '°` D••po t )-I'�-- 2`41 '_�( 0I/ r'�Ir' .--:-AA
Send Invoice To: .� "� t- p, 0~----
/$4 r4 ST 1 tJs ILL L ' - -,--7:111:(1 23 Soy v C,)9 t
h] L4 ' D r 6'A42 rn£t,.,.
�j<JCC.S p DT Tb 4�lea I , 3,t;u�
Doi, c C•-v ` 1.
C . L,) 41,03 2._ PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EV 'Y INVOICE AND
TI VOUCHER HAS THE PR PER S 'SRN• 'AVITATT• HED"�.,
SHIPPING INSTRUCTIONS • I HER APP 0 RTIFYION I i.T H ER: SN 'BLhGAT BALANCE IN ' ;'
•SHIP REPAID.
I NT TO' FO' ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. / /'�+
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I ' ^'I-C..1�-`r '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 4 71 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE