26470 Bartlett Tree Expertsnv oft Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
J INDIANA RETAIL TAX EXEMPT
It CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
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THIS NUMBER MUST APPEAR 011 INVOICES.
VOUCHER. DELIVERY MEMO, PACKING Si.
SNIPPING LABELS AND ANY CORRESPONDEI.
1CH DATE
A E ORDER DA
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
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CONTRACT
PAYMENT TERMS 1
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QUANTITY UNIT OF MEASURE
DESCRIPTION
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fend Invoice To:
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L/iGrh tiGI A PLEASE INVOICE IN DUPLICATE
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UNIT PRICE
EXTENSION
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13; 13; coo
DEPARTMENT
ACCOUNT
PROJECT
1 PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D- SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR CN ALL
SHIPPING LABELS,
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 93, ACTS 1945
AND ACTS AMENDATORY THEREOFAND SUPPLEMENT THERETO.
If1(I IMFNT !.t1NTRCII hill 26470
ORDERED SY
TITLE
CLERK- TREASURER
VENDOR CCPV
PAYMENT
• AlP 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 AFFIDAVIT ATTACHED.
• I HE Y CERTIFY THAT THER IS AN UNOBLIGATED BALANCE IN
T PROP IATI ?N SUFFI f T TO PAY FOR THE ABOVE ORDER,