41625 MR. B'S LAWN MAINTENANCE INC. DIANA
RETAI
TEXEMPT
Cityof arme I CEIRTIFI ATE 0.003720155 002 0 PAGE 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 41625
3540000972
ONE CIVIC SQUARE
CAMEL, N aNA a:E 4 THIS NUMBER MUST APPEAR ON INVOICES.MP
VOUCHER DELIVERY MEMO,PACKING SUPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABE
LS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/25/2017 05/29/17 12765 353483 Central Park Aeration and Fertilizer
Mr.B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street 1427 E. 116th Street ATTN:Courtney
VENDOR Noblesville,IN 46062 SNIP Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION I UNIT PRICE ` EXTENSION
1.000 each aeration $540.0000 $540.00
1.000 each fertilizer $228.0000 $228.00
GLAccount#1125404-4350400
Send Invoice To:
$768.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT ' AMOUNT
PAYMENT
MP 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 UNODNGATEO BALANCE IN DM APPROPRIATION
SHS'REPAID. SUFPICI04T TO PAY FOR THE ABOVE ORDER
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON AL SHIPPINGLABELS. ORDERED BY Michael Allen
. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 44.ACTS 1445
AND ACTS AABNDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 41625 V_Nu. :CO?Y ``