101828 GOODMARK NURSERIES, LLC (� CarmeINDIANA RETAIL TAX EXEMPT Page 1 of 1
�C it o 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
,/ Jl �j FEDERAL EXCISE TAX EXEMPT 101828
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/31/2018 372643
GOODMARK NURSERIES, LLC Dept of Community Service
VENDOR 8920 HOWE ROAD SHIP 1 Civic Square
TO Carmel, IN 46032-
WONDER LAKE, IL 60097-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28006
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-624.00
1 Each Trees $35,825.00 $35,825.00
Sub Total $35,825.00
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Send Invoice To: •
Dept of Community Service
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1 Civic SquareQ. ,>
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $35,825.00
SHIPPING INSTRUCTIONS *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
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
PURCHASE ORDER NUMBER MUST APPEAR ALL SHIPPING LABEL
*
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider
TITLE Director Administration \
CONTROL NO. 101828 CLERK-TREASURER \\