37173 Mr. B Lawn Maintenances Carmel INDIANA RETAIL TAX EXEMPT PAGE 1
City of CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37173
35-60000972
PHIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING I NBI:I.S AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCI IASE ORDER DATE. DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/13/2014 06/17/14 1927 Mowing, Edging Engagement Letter 2014
Mr. B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46062 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CON IRACI PAYMINI.TERMS FREIGI-IT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE. EXTEN ON
$ 1.00 each Mowing, Edging Services NTE for 2014 169,000.000 $ 169,001.00
GLAccount# 1125401-4350400
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poix« out- 3(409°C3
PAID O 'c4 - (°) l0ya•oo
31I O3
5i )14a'1.00
Please ovt
uneu_vidoer
Send Invoice To: tl5' ,4'n 00
$ 1c$,Doo.ea-
PLEASE INVOICE IN DUPLICATE
DGPARTMFNI_-___ -- -_- ACCOUNT
- - PHOJRCI
PROJECT ACCOUNT AMOUNT
� `T35V40C PAYMENT -------- -- ------ ------ - ------- ----
• A/P 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.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SI TIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.0.1)SFIIPMI�NI S CANNOT 13E ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON AI_I.SHIPPING LABELS. ORDERED BY Dawn Koepper 1 14��(1 c \1-{
• THIS ORDER ISSUED IN COMPLIANCE WI EH CHAP I PR 99,AC S 1945
AND ACTS AMENDATORY TI IEREOF AND SUPPPLEMIN I I I ERE rO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37173 --