36818 Aquatic Control fff''''��y yyy''''''''�yy� INDIANA RETAIL TAX EXEMPT PAGE 1
City ^ i ' r, rmel - CERTIFICATE Na 003120155 002 0
1! Y t\-1 4t../ LIlll 1 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36818
35-60000972
-- - 11•::-.Dr.:- THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
I
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATF DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/4/2014 104/09/14 1018 003505193 Pond Maintenance Service
Aquatic Control Parks Maintenance
P.O. Box 1002 1427 E. 116th Street ATTN: Courtney
VENDOR Seymour, IN 47274 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT _ PAYMENT TERMS FREIGHT
QUANTITY l UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
6.000 each Pond Maintenance Services -Central Park $ 265.17 $ 1,591.02
GLAccount# 1125404-4350400
6.000 each Pond Maintenance Service- Meadowlark $ 219.17 $ 1,315.02
GLAccount# 1125414-4350400
6.000 each Pond Maintenance Services-West Park $221.00 $ 1,326.00
GLAccount# 1125419-4350400
•
Send Invoice To:
$4,232.04
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUN I�-�-�-�_ I TP-ROOJECT I PROJECT ACCOUNT I AMOUNT
1125- 1.1�-=^t F VED PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
APR - 7 2G14 PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SV✓ORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• T.?`7
SHIP REPAID. .- _ SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. 000 SHIPMENTS CANNOT BE ACCEPTED. C -`--
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper Cac.,t 0,n ` L((Lf 11 I-f
• •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS:945 ✓ I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36818 I I -.COI-Dit