HomeMy WebLinkAbout29947 Mussleman Farms INDIANA RETAIL TAX EXEMPT I PAGE i
Lity of r 1i.e i CERTIFICATE NO.003120155 002 0
l PURCHASE ORDER NUMBER---
FEDERAL EXCISE TAX EXEMPT I 29947
{ 35-60000972 ;
L
ONE CIVIC SQUARE --
THIS NUMBER MUST APPEAR ON INVOICES,AR
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING SLIPS.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE..
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. I VENDOR NO. DESCRIPTION
6/19/13
M001030 00352L}7C0 I Top Soil and Playground WoodCarpet Surfacing
Mussleman Farms Maintenance
17 sob 1DUA. _ :<°7 _: :, rte_,
VENDOR 1�J P +JD SHIP IK i
NOB _E---- 1 (-1-1-_-=, 1 N 40C&C TO i JUN 19 2013
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„�;:4 IRMAAGN { BLANKET CONTRACT' PAYMENT TERMS FREIGHT
CUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5 YD Top Soil $24.00 $120.00
85 YD Playground WoodCarpet Safety Surfacing $15.00 $1,275.00
1 EA Shipping Charges $250.00 $250.00
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE $1,645.00
DEPARTMENT 1 -, ACCOUNT I PROJECT 1 PROJECT ACCOUNT AMOUNT
1125-4-V & 19).4239000-Misc. Landscape Supplies PAYMENT
• NP VOUCHER CANNOT RE APPROV:D FOR PAYMENT UNLESS THE PO
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS IN LJNOBUGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT 0 PAY FOR THE ABOVE ORDER.
••C.O.D.SHIPMENTS CANNOT BE ACCEPTED. John Gates - D K
• PURCHASE ORDER tJUtv,E_H t.1U5TAPPEAR ON G,LL ORDERED BY --)_L .L ) _. 1--\ U\1 \_
SHIPPING LABELS. ..
•THIS ORDER,ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1915 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - 1
29947 CLERK-TREASURER
DOCUMENT CONTROL NO. `IEWDOR COPY - - --- -
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