26299 John Deere Landscapingof Carnal
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
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
5120/2012
VENDOR
John Deere Landscapes
130 Crossroads Drive
SHIP
TO
Street Department
3400 W. 131st Street
Carmel, IN 46074
CONFIRMATION
Nevi WP
BLANKET
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CONTRACT
IN 45104
PAYMENT TERMS
(317) 733 2001
FREIGHT
Michael
Hams
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 0042-390.34
1 Each bulbs
Send Invoice To:
Street Department
3400 W 131st Street
Carmel, IN 46074 -
DEPARTMENT
PLEASE INVOICE IN DUPLICATE
1
ACCOUNT
PROJECT
Carmel Street Department
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.
DOCUMENT CONTROL NO. 26299
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
$4,415.13 .,,,$4,415.13
Sub Total: $4,415.13
PROJECT ACCOUNT
AMOUNT
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLE$311415--1313
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO' AV FOR THE ABOVE ORDER.
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