52052 VINE & BRANCH INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE N0.003120155 002 0
city �• CarmelPURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52052
35-60000972
ON CIVIC SQUARE
CARMEL,EL,INDI-{NA 46032-2E84 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
10/15/2018 10/15/18 17897 318900 Monon hazard tree removal 96th&Hinshaw Preserve
Vine&Branch Inc Parks Maintenance
4721 E 146th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Carmel, IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each uprooted Maple $ 1,850.0000 $ 1,850.00
1.000 each maple at trailhead parking lot $240.0000 $240.00
1.000 . each dead ash $250.0000 $250.00
1.000 each dead ash 2 split $4,250.0000 $4,250.00
GLAccount#1125416-4350400
Send Invoice To:
$6,590.00
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. AAA
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen II_
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 {y�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE !n
( 4.A
SS •
CLERK-TREASURER
DOCUMENT CONTROL NO. 52052 VENDOR COPY