51194 VINE & BRANCH INC INDIANA RETAIL TAX EXEMPT PAGE 1
City
ICERTIFICATE NO.003120155 0020 Carmel
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 51194
35-60000972
OlIE CMC SQUARE
CARMEL L,INDIAN} 46032-2SS4 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
4/17/2018 04/14/18 15872 318900 Wood Sculpture for Central Park
Vine&Branch Inc Parks Maintenance
4721 E 146th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Cut trunk of dead tree in half so it's manageable in the future- $575.0000 $575.00
then carve an Owl form the remaining trunk
GLAccount#1125404-4350400
Send Invoice To:
$575.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• NP 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE `1&
CLERK-TREASURER �� VVV
DOCUMENT CONTROL NO. 51194 VENDOR COPY