50956 MR. B'S LAWN MAINTENANCE INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
'
FEDERAL XE _�ER NUMBER
PURCHASE ORD
AL EXCISE TAX MPT E 549T�6
35-60000972
ONE CIVIC SQUARE I __..
C4RMEL.IMD ANA.X56032 254 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 r DATE REQUIRED REQUISITION NO. r VENDOR NO # DESCRIPTION
2/22/2018 02/26118 15424 353483 2018 Bark park not to exceed overseed
Mr.B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street ATM:
1427 E. 116th Street AT : Courtney
VENDOR Noblesville, IN 46062 So Carmel, IN 46032
CONFIRMATION I BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION ... _.. µ UNIT PRICE o EXTENSION
1.000 each Overseeding for bark park $600.0000 $600.00
GLAccount#11254044350400
Send Invoice To:
$600.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 'j PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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
• THIS ORDER ISSUED.IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE .,
CLERK-TREASURER
DOCUMENT CONTROL NO. 50956 VENDOR COPY ��`