52568 MR. B'S LAWN MAINTENANCE INDIANA RETAIL TAX EXEMPT PAGE 1
cty CERTIFICATE NO.003120155 002 0
C,Carmel PURCHASE ORDER NUMBER P FEDERAL EXCISE TAX EXEMPT 52568
35-60000972
Ol1E CIVIC SC/€'-.R_
THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 DA I'E REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/19/2019 03/23/19 19158 353483 2019 Founders Turf Maintenance
•
Mr. B's Lawn Maintenance Inc. Parks Maintenance
5225 East 225th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46062 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
•
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Labor and material to overseed blue grass $ 1,360.4800 $ 1,360.48
1.000 each Core/aeration center of East&West sports field $600.0000 $600.00
1.000 each Labor for Aeration $606.0000 $606.00
GLAccount#1125408-4350400
Send Invoice To:
$2,566.48
PLEASE INVOICE IN DUPLICATE
UEPARIMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT 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
• SI III'REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SI IIPMENTS CANNOT BE ACCEPTED.
• PURCI IASE C)RDEI2 NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen r�
• ANIS ORDER ISSUED IN COMPLIANCE F WITH CHAPTERLEM 99,T ACTS O. \v 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER M\
DOCUMENT CONTROL NO. 52568 VENDOR COPY