51631 WILD FLOWER MEADOWS LLC INDIANA RETAIL TAX EXEMPT PAGE 1
4 ty rnel CERTIFICATE 003120155 55 0
City
o PURCHASE ORDER NUMBER
f / tai.
FEDERAL EXCISE TAX EXEMPT 51631
35-60000972
_Ili:Cl:IC SQUARE
THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
6/29/2018 07/04/18 16959 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 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 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 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 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 \ �
CLERK-TREASURER
DOCUMENT CONTROL NO. 51631 VENDOR COPY y�