50817 MONROE LLC/JOHN SIMPSON U
„1 I / IU 1 I IC FEDERAL EXCISE TAX EXEMPT I 5 817 SE ORDER NUMBER
35-60000972
ONE CIVIC SQUARE
CRI4LL,IldDtAf4.A 4e33-2-25.8,4 THIS NUMBER MUST APPEAR ON INVOICES,A
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENT
M APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
;HASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2018 01/28/18 15140 s6011K1Q -5 Tree Removal Services for West Park Tree Clearing Projec
Monroe LLC/John Simpson _� Administration Office
4440 St. Rd. 46 West 1411 E. 116th Street
DOR Nashville, IN 47448 SHIP Carmel, IN 46032
TO
IRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
)UANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
0000 each Service Agreement for Tree Removal Services 179,000.000 $ 179,000.00
GLAccount# 1060000-5023990
Invoice To:
$ 179,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MAD
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
P REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
).D SHIPMENTS CANNOT BE ACCEPTED.
RCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper 0\,\IS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945J ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
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