51166 WILD FLOWER MEADOWS INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
CERTIFICATE NO.003120155 002 0
3ity �/. arrneA, , XFEDERAL XCISE TAX EXEMPT 51166
35-60000972
on me SQUARE
CARMEL,?HOE�I'IA 032-2554 THIS NUMBER MUST APPEAR ON INVOICES,NP
- .. 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
4/10/2018 04/15/18 15890 369877 Dog liter bags for Parks
RV Park Supplies(Wild Flower Meadows LLC): Parks Maintenance
14113 NE Airport Dr.Ste 101 1427 E. 116th Street ATTN: Courtney
VENDOR Vancouver,WA 98684 So P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
3.000 . each Dogipot litter bags 30pk $ 174.0000 $522.00
3.000 each Shipping $23.0000 $69.00
GLAccount#1125401-4238900
Send Invoice To:
$591.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• AM 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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
\y \O
CLERK-TREASURER A\.
DOCUMENT CONTROL NO. 51166 VENDOR COPY