38012 Green Touch Services Inc City o a r m INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 1 02 0
PAGE 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3$012
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
1/2312015 01/28/15 4053 Top Dress Gravel-Central Park West
Green Touch Services Inc. Parks Maintenance
6314 W Pendleton Pike 1427 E. 116th Street ATTN: Courtney
VENDOR McCordsville, IN 46055 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE J EXTENSION
1.000 each Top Dress Gravel Along Road to level with walking path $3,150.0000 $ 3,150.00
GLAccount# 1125404-4350400
Send Invoice To:
$ 3,150.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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
- 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. ORDERED BY Dawn Koepper k1 z.3k1 Lj
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38012 VE,NDOR COP'?