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31209 Pings Tree ServiceCi of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032 -2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35- 60000972 PAGE PURCHASE ORDER NUMBER 31209 THIS NUMBER MUST APPEAR ON INVOICES. NP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 08/29/12 M000814 36G-3 lb Hazardous Tree Removal Pings Tree Service 5060 Fri Dive VENDOR InCIPS iN 4C451- SHIP TO Maint CONFIRMATIO BLANKET CONTRACT PAYMENT TERMS AUG 2 9 2012 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 1 EA Hazardous Tree Removal at 1305 E. 106th Street EA Hazardous Tree Removal at E. 106th & Monon Trail Send Invoice To: PLEASE INVOICE IN DUPLICATE $171.00 $451.00 $622.00 $171.00 $451.00 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1125 -4 -16- 4350400 - Grounds Maintenance SHIPPING INSTRUCTIONS • SHIP REPAID. • C.O.D. SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. • THIS ORDER. ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 31209 DOCUMENT CONTROL NO. PAYMENT • A/P VOUCHER CANNOT BE APPROV:D FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE ANO VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS IN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER. ORDERED BY TITLE CLERK - TREASURER VENDOR COPY John Gates - DK