50955 MR. B'S LAWN MAINTENANCE INC . ar ...elINDIANA RETAIL TAX EXEMPT I PAGE 1
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CERTIFICATE NO.003120155 002 0 ( _ _w_
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C _ _ - E ORDER NUMBER
I PURCHASE FEDERAL EXCISE TAX EXEMPT
3540000972 50955
.ONE CHIC SQUAB£... I _ __
CARMEL!•INDIANA 46032-2&54 THIS NUMBER MUST APPEAR ON INVOICES,AVP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 I.SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED I REQUISITION NO VENDOR NO. [ DESCRIPTION
2/22/2018 02/26/18 15423 353483 2018 Spring clean up for outdoor parks
,
Mr.B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street SHIP 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville,IN 46062TO
SH Carmel, IN 46032
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS v �•�✓ _�• 1- ��� FREIGHT m._.......,....,... ,._.r-
QUANTITY I UNIT OF MEASURE i' DESCRIPTION 1 UNIT PRICE # EXTENSION
1.000 each NTE-Labor to clean up down limbs and branches including $ 1,051.0000 $ 1,051.00
dump fees
GLAccount#1125401-4350400
•
Send Invoice To:
$1,051.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT } ACCOUNT I PROJECT 1PROJECT ACCOUNT ( 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 UNOBUGATED 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 M
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - - - A
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE ,.
CLERK-TREASURER \
DOCUMENT CONTROL NO. 50955 VENDOR COPY N
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