HomeMy WebLinkAbout26334 Blue Grass Farms, Inc. City0 INDIANA RETAIL TAX EXEMPT PAGE
of 'Sr . iriei CERTIFICATE NO.0031201550020 •
Y of moo// PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26334
35-60000972
ONE CIVIC SQUARE • THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 -
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. 'DESCRIPTION
3/27/2013
Blue Grass Farms, Inc Street Department
VENDOR •SHIP 3400 W. 131st Street
1915 W. 53rd St.
TO • Carmel, IN 46074
Anderson,IN 46013 • (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 0042-390.34
1 Each Trees for reflecting pond $5,406.00 $5,406.00
Sub Total: $5,406.00
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Send Invoice To: E" c
Street Department
•
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE .
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
CarmelStreet Department PAYMENT $5,406.00
• 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 AFFIDAVIT'ATTACHED.
•
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THHAT THERE IS AN UNOBLIG' F1D BALANCE IN
THIS APPROPRI 1 tIPF TENT TO PAY FOR HE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. !�
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /� ' ^ I/ / ,
SHIPPING LABELS. U
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - TITLE - �i • '�'lir
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 2633 4 CLERK-TREASURER
OFFICE COPY