32741 Bartlett TreeCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
32741
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/29/2015
VENDOR
Bartlett Tree Experts
P.O. Box 3067
Stamford, CT 06905-0067
SHIP
TO
DOCS Department
1 Civic Square
Carmel, IN 46032
(317) 571-2418
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE A
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-504.00
1 Each tree work
Send Invoice To:
DOCS Department
1 Civic Square
Carmel, IN 46032-
(ia
Contract notto.exceed,$25;000'-- Bartlett -Tree Experts lowest bidder
$25,000.00
$25,000.00
Sub Total: $25,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1192 DOCS
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
TITLE
PAYMENT
$25,000.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED B LANCE IN
THIS APPROPRIATION 7f6N TOP R THE A VE ORDER.
����� CLERK -TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE