50841 RV PARK SUPPLIES (WILD FLOWER MEADOWS LLC) INDIANA RETAIL TAX EXEMPT
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I �I Carmel CERTIFICATE N0.003120155 002 0 PAGE 1
PURCHASE ORDER NUMBER_ _,_S _w�_ ,:_....:................„.. ...i
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FEDERAL EXCISE TAX EXEMPT
35-60000972 50841
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ONE CIVIC SQUARE —_ .._. _. , _,
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CARMEL,INDIANA 466032-2584”. I;gam:, MUST APPEAR ON INVOICES,AIP j
} VOUCHER,DELIVERY MEMO,PACKING SLIPS, 3
I SHIPPING LABELS AND ANY CORRESPONDENCE. '
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL—1997
PURCHASE ORDER DATET DATE REQUIRED i REQUISITION NO. * VENDOR NO 1 DESCRIPTION
1/30/2018 01/30/18 15168 L69877IDog liter bags for Parks
_.
RV Park Supplies(Wild Flower Meadows LLC) Parks Maintenance
14113 NE Airport Dr.Ste 101 SHIP 1427 E. 116th Street ATTN:Courtney
VENDOR Vancouver,WA 98684TO Carmel, IN 46032
CONFIRMATION t BLANKET 1 CONTRACT PAYMENT TERMS I FREIGHT
QUANTITY 1 UNIT OF MEASURE 1 DESCRIPTION 1 µ UNIT PRICE EXTENSION
3.000 each Dogipot litter bags 30pk $ 174.0000 $522.00
3.000 each Shipping $23.0000 $69.00
GLAccount#1125401-4238900
Send Invoice To:
$591.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1ACCOUNT PROJECT 4 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 UNOBLIOATED 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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50841 VENDOR COPY