36634 Musselman Farms INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO.003120155 002 0 C 1 j y O f Carmel
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36634
35-60000972
CLg1I_I-,EI i_I!. [?:f;-.r_:r- THIS NUMBER MUST APPEAR ON INVOICES.AIP
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 I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/11/2014 02/15/14 568 603521f76 Safety surfacing for Inlow Park and River Heritage playgrounds
Musselman Farms Parks Maintenance
17505 Durbin Road 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE 1 EXTENSION
120.000 yard Playground safety surfacing for Inlow Park $ 15.00 $ 1,800.00
GLAccount# 11 2541 1-4 239000
65.000 each Playground safety surfacing for River Heritage Park $ 15.00 $ 975.00
GLAccount/ 1125418-4239000
C1. ,IiiLi -,-. 1 LA L e 1L r
H\c-,c H H .
Send Invoice To:
$2,775.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT MIOUNT
PAYMENT
RICCI EL NP 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.
FEB 1 1 2014 I I • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEO BALANCE IN THIS APPROPRIATION
• SHIP REPAID. T� SUFFICIEN I TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. L V• .
t- ----_-.-..__- 2
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel Ck f(,il> y � -2-7///f1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -v , -+✓�'+
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36634 VENDOR COPY