101856 BLUE GRASS FARMS INDIANA RETAIL TAX EXEMPT Page 1 of
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101856
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL; INDIANA 46032-2584 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
8/9/2018_ 00351585.
BLUE GRASS FARMS, INC. Dept of Community Service
VENDOR: 1915 W.53RD STREET SHIP 1 Civic Square"
TO:.. Carmel, IN 46032-
ANDERSON, IN 46013-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28394
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
1 Civic Square
Carmel,IN 46032- AND
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT.. . PROJECT PROJECT ACCOUNT AMOUNT.
PAYMENT . $35,825.00
SHIPPING INSTRUCTIONS •
NPVOUCHER 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 ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
79'°7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Mike Hollibaugh James Crider
TITLE Director . . Administration
CONTROL NO. 101856 CLERK-TREASURER