52168 GREEN TOUCH SERVICES INDIANA RETAIL TAX EXEMPT PAGE 1
City
l CERTIFICATE NO.003120155 002 0
a C"' rn'ie FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
52168
35-60000972
013=CMC .
.id,1_L. ii:-.ii-111A='032-2a,' 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
11/28/2018 12/01/18 18230 366079 Woodland Garden Cleanup Service
Green Touch Services Inc. Administration Office
6314 W Pendleton Pike 1411 E. 116th Street
VENDOR McCordsville, IN 46055 SHIP Carmel, IN 46032,
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS • FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Labor to clean up and remove all unwanted trees, shrubs, and $ 1,500.0000 $ 1,500.00
mosc. shrub growith and spray roundup
GLAccount#8530000-5023990
•
Send Invoice To:
$ 1,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 Dawn Koepper [•
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER 0\ 'vN�
DOCUMENT CONTROL NO. 52168 VENDOR COPY