36888 Salsbery Brothers (^ INDIANA RETAIL TAX EXEMPT PAGE 1
Cite L Carmel CERTIFICATE NO 0031201550020 -
1 C.i` 1 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT I 36888
35-60000972
_-_ _- - _ _ THIS NUMBER MUST APPEAR ON INVOICES,All,
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. I VENDOR NO. DESCRIPTION
4/24/2014 04/27/14 1215 0O351 9-S'7 Commemorative tree
Salsbery Brothers Landscaping Parks Maintenance
4317 East 146th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITVLUNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Purchase and install of Elm Tree to commemorate Ian Rose $ 350.00 $ 350.00
GLAccount#-9125484-4350400-
T57.)_ 50a399°
Send Invoice To:
$ 350.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT I PROJECT ACCOUNT I_ AMOUNT
853 -502 39°E R1F C i S
C ! ?>71 PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P .NUMBER IS MADE A
h! I • PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS Ar N 5 Z_ 14 • O
AFFIDAVIT ATTACHED.
SHIP REPAID. . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
•
pzT, SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.DSHIPMENIE CANNOT BE ACCEPTED. ----------- --.--_ .-'-_-
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel �j1.6C.. l ai Ak 112 Li/R{
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /
•- AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36888 11th_`I:COPY