101316 SHADE TREES UNLIMITED INC a INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit of Carmel003120165 002
CERTIFICATE
FEDERAL EXCISE TAX EXEMPTO PURCHA�SEoOR�E�R�UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 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 r REQUISITION NO. VENDOR NO. DESCRIPTION
1/23/2018 00352697
SHADE TREES UNLIMITED INC Dept of Community Service
VENDOR PO BOX 152 SHIP 1 Civic Square
TO Carmel, IN 46032-
COLUMBIA CITY, IN 46725
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22864
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-624.00
1 Each Trees $60,000.00 $60,000.00
Sub Total $60,000.00
Send Invoice To: "'
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $60,000.00
SHIPPING INSTRUCTIONS 'NP 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
79‘:77
/� / ,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 P / ' —d G� ~ ,�i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider It
TITLE Director Administration \ .‘4.)\.
CONTROL NO. 101316 CLERK-TREASURER