52223 AQUATIC CONTROL INDIANA RETAIL TAX EXEMPT PAGE 1
' CERTCATE NO.003120155 002 0City `" FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
52223
35-60000972
ONE CIVIC SOLIA.RE
- CARMEL,ieIJt=..NA4v332-2tee= THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
12/6/2018 12/05/18 18283 00350893 Pond Maintenance Service 2019
Aquatic Control Parks Maintenance
P.O. Box 1002 1427 E. 116th Street ATTN: Courtney
VENDOR Seymour, IN 47274 TOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
6.000 each April-Sept Central Park monthly lake maint $286.6660 $ 1,720.00
GLAccount#1125404-4350400
6.000 each April-Sept-Meadowlark clean lake program $230.5000 $ 1,383.00
6.000 each April-Sept West Park clean lake program $232.3330 $ 1,394.00
GLAccount#1125414-4350400
Send Invoice To:
$4,497.00
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 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. 52223 VENDOR COPY
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