51846 UPROOTER/CP DESIGNS INDIANA RETAIL TAX EXEMPT. PAGE 1
I CERTIFICATE NO.003120155 002 0
i Carniel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 51846
ONE CMC SQUARE
CARMEL,h€ntAfi.LA 4E02-2E84 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
8/16/2018 08/19/18 17422 372265 Park Maint small equipment for woody plant pulling
UPROOTER/CP Designs Inc. Parks Maintenance
PO Box 5621 1427 E. 116th Street ATTN: Courtney
VENDOR Grants Pass, OR 97527 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
3.000 each Uprooter Tool $ 169.0000 $507.00
1.000 each shipping $70.0000 $70.00
GLAccount#1125401-4238000
Send Invoice To:
$577.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \f
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER �il
DOCUMENT CONTROL NO. 51846 VENDOR COPY