36776 Mr. B's Lawn Ct / ^ {- r f-� r m` l L_—_—CERTIF LATE NO.003x 0X55 002 0 - PAGE 1
lI `/Y 1`Jl l ice._./ t-rlt lr 1 tl.. _ PURCI IASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36776
35-60000972
-- "- --- - THIS NUMBER MUST APPEAR ON INVOICES.NP
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
3/25/2014 03/26/14 915 3534tt3 Spring clean up of the parks
Mr. B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46062 SKIP Cannel, IN 46032
TO
CONFIRMATION BLANKET CON1RACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION _ _ _1 _ UNIT PRICE I EXTENSION
1.000 each Spring clean up of the parks. (see quote for more detail.) $ 1,051.00 S 1,051.00
GLAccounll/ 1125401-4350400
Send Invoice To:
$ 1,051.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
R [/y.Tr.y Tn Ali,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 MAR 2 A AFFIDAVIT ATTACHED D.
M,49 2 6 7 14 . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED VALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. TT�y
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. • --- _"'_ ejTIF EBY Courtney SChlaegel .it 14c,_1 I,J _\ .3/^ a�//Y/
• THIS ORDER ISSUED IN COMPLIANCE WITH CI SIFTER 99,ACTS 1955 °"'er
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT TI IERE TO,
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36776 -