50957 MR. B'S LAWN MAINTENANCE INC AX EXEMPT PAGE1
INDIANA RETAIL T
' � CarmelCERTIFICATE NO.003120155 0020� PURCHASEORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1c50957�
35-60000972
ONE.CIVIC.SQUARE
CARMEL,itfitAIIA 46032-2E34 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 m- -3
PURCHASE ORDER DATE-I- DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/22/2018 :02/26/18 15418 353483 Parks Turf Chemical Treatments 2018
•
Mr.B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street 1427 E. 116th Street ATTN:Courtney
VENDOR Noblesville,IN 46062 So SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT i PAYMENT TERMS E FREIGHT
A e
QUANTITY ;UNIT OF MEASURE I DESCRIPTION 1 UNIT PRICE I EXTENSION
$1.0000 each Central Park East and West Turf Chemical Treatments 2,783.000 $2,783.00
$ 1.0000 each Bark Park Turf Chemical Treatments 2,181.000 $2,181.00
$ 1.0000 each Central Park West Commons Turf Chemical Treatments 1,492.000 $ 1,492.00
GLAccount#1125404-4350400
$ 1.0000 each Founders Sports Field Turf Chemical Treatments 5,648.280 $5,648.28
\
GLAccount#1125408-4350400
$1.0000 each West Park Turf Chemical Treatments 1,273.550 $1,273.55
GLAccount#1125419-4350400
Send Invoice To:
$13,377.83
PLEASE INVOICE IN DUPLICATE
DEPARTMENT -J ACCOUNT i PROJECTPROJECT ACCOUNT Ma
,_ 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 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
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE \.
CLERK-TREASURER 4�
DOCUMENT CONTROL NO. 50957 VENDOR COPY