51258 ADVANCED TURF SOLUTIONS INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE NO.003120155 002 0I0 i. \'�•( rniePURCHASE ORDER NUMBER
1 Lr1 FEDERAL EXCISE TAX EXEMPT 51258
35-60000972
OWE CMC SQUARE
CARMEL.IUDtAN' 46032-2°84 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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
•
4/26/2018 04/30/18 16084 00352930 Weed control herbicides
Advanced Turf Solutions Parks Maintenance
12840 Ford Dr 1427 E. 116th Street ATTN: Courtney
VENDOR Fishers, IN 46038 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Sureguard SC-64oz(MV) $545.6000 $545.60
10.000 each Ranger Pro 2.5 Gal $45.0000 $450.00
1.000 each Lontrel QT $ 165.0000 $ 165.00
1.000 each tryclopyre 3SL-2.5 GL $ 140.0000 $ 140.00
GLAccount#1125401-4239000
Send Invoice To:
$ 1,300.60
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 51258 VENDOR COPY