101395 BARLETT TREE EXPERTS INDIANA RETAIL TAX EXEMPT Page 1
o .. . of 1
C y oit Ca.rmel
CERTIFICATE NO 003120155 002 0 ° PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101395
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. REQUISITION NO:. VENDOR NO. DESCRIPTION .
2/13/2018. 022518
BARTLETT TREE EXPERTS Dept of Community Service
VENDOR PO BOX 3067 SHIP 1 Civic Square
TO., Carmel, IN 46032- .
STAMFORD,CT 06905.-0067
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
;FREIGHT,;, :.'.
23391
QUANTITY ..' UNIT OF MEASURE DESCRIPTION. UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account.. 43-504.00
1 Each . . Tree Work-Urban Forestry: $75,000.00 . $75,000.00
Sub Total : $75,000.00
•
d
p W d
rt,�
Send Invoice To: = `:, . ., ''
Dept of Community Service . .
l
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT . 1 ACCOUNT: :. . I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $75,000.00
•AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
*SHIP PREPAID. AFFIDAVIT ATTACHED I HEREBY CERTIFY THAT THERE IS AN UNOBUGATEDBALANCE 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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike' Hollibaugh James Crider
TITLE Director Administration
CONTROL NO. 1 01 395 CLERK-TREASURER