52103 MR. B'S LAWN MAINTENANCE 1 I INDIANA RETAIL TAX EXEMPT I ' `PAGE 1
f _ annel j CERTIFICATE NO.003120155 002 0 . ! _sCity
I : :PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
i:52103
35-60000972 eI
ONE CMC SQUARE — - .-»--.„.- . - .___.._.__.._ �.
CARMEL,II't}IANA 4fi032--ZM1B4 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS, i
I
SHIPPING LABELS AND ANY CORRESPONDENCE.
j FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE! DATE REQUIRED 1 REQUISITION NO. 1 VENDOR NO. I DESCRIPTION
11/1/2018 110/27/18 117974 , 353483 12018 Fall clean up and storm damage for all parks
Mr.B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street 1427 E. 116th Street ATTN:Courtney
VENDOR Noblesville,IN 46062
SHIP
o P Carmel,IN 46032
CONFIRMATION 1 BLANKET ' CONTRACT PAYMENT TERMS I FREIGHT
QUANTITY i UNIT OF MEASURE' DESCRIPTION UNIT PRICE 1 EXTENSION
1.000 each NTE-for branch and limb clean up $1,051.0000 $1,051.00 .
GLAccount#1125401-4350400
Send Invoice To:
$1,051.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I. ACCOUNT PROJECT r - PROJECT ACCOUNT Im AMOUNT
PAYMENT
• AIP 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52103 VENDOR COPY \\\\,c___,