50949 UPROOTER NA RETAIL TAX E EM T (PAGE
1 CERTIFICATE NO.•
002 0City _ ..�...� }w „ „„ „ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50949
35.60000972 .
ONE CIVIC SQUARN _E . __ .....„.._,._..„.__._......_. I
� � THIS NUMBER MUST APPEAR ON INVOICES,AIP
CAI2I�EL,IE�LAh}Ad603Z 2_..$4 I VOUCHER,DELIVERY MEMO,PACKING SLIPS,
l I SHIPPING LABELS AND ANY CORRESPONDENCE..
[FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
.. �.. � __mow......_
PURCHASE ORDER DATE DATE REQUIRED .__1,,,,. REQUISITION NO. j VENDOR NO. DESCRIPTION
New—Ve
2/21/2018 102/26/18 1.15417 - rrattached�j Park Maint small equipment for woody plant pulling
��� UPROOTER/CP Designs Inc. 9- Lac Parks Maintenance
PO Box 5621 1427 E. 116th Street ATTN:Courtney •
VENDOR Grants Pass,OR 97527 To P Carmel, IN 46032
CONFIRMATION l BLANKET I CONTRACT 1 PAYMENT TERMS I FREIGHT
I
i
QUANTITY UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE 1 EXTENSION
2.000 each Uprooter Tool .__.�..._ a....m yV� $ 150.0000 , $300.00
1.000 each shipping $79.0400 $79.04
GLAccount#1125401-4238000
Send Invoice To:
$379.04
PLEASE INVOICE IN DUPLICATE
•
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT M- - - AMOUNT
PAYMENT
• AlP 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 UNOBLIGATED 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 Dawn Koepper 4
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, TITLE
� I
CLERK-TREASURER A
DOCUMENT CONTROL NO. 50949 VENDOR COPY I