36693 Salsbery Brothers EIity /�`'�� INDIANA RETAIL TAX EXEMPT PAGE 1
O 1 Car e 1 CERTIFICATE NO.003120155 002 0 i lI 11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36693
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/27/2014 03/03/14 704 00351481 Spring and fall clean up of the Administration Office
Salsbery Brothers Landscaping Parks Maintenance
4317 East 146th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Spring cleanup-Admin Office $490.00 $490.00
1.000 each Fall cleanup-Admin Office $ 535.00 $ 535.00
GLAccount# 1125402-4350400
•
•
Send Invoice To:
f l I 1
$ 1,025.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
� __ • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
Y Ec i" g a_ ,T �� PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS MAR A '-� # AFFIDAVIT ATTACHED.
M A R O 3 O 14 • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. O DERED BY Courtney Schlaegel /`7)/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99!ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36693 ':'LL''1f <:'•F CO