36523 Green Touch City INDIANA RETAIL TAX EXEMPT PAGE 1
City ,of C.ar „� el CERTIFICATE NO.003120155 002 0
Fl- 111 J(. 11. Il. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36523
35-60000972
Liii_CIV9C SQUA SE
-Lv{,{_I :: Dt.LII -J. THIS NUMBER MUST APPEAR ON INVOICES,ALP
VOUCHER.DELIVERY MEMO.PACKING SLIPS.
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
1/8/2014 01/08/14 276 3(961079 Monon Redbud Tree planting
Green Touch Services Inc. Parks Maintenance
6314 W Pendleton Pike 1427 E. 116th Street ATTN: Courtney
VENDOR McCordsville, IN 46055 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Installation of Redbud Tree at 11440 Monon Farms Lane to $ 375.00 $375.00
replace dead oak tree removed recently.
GLAccount# 1125416-4350400
Send Invoice To: ,,. TFg�
dJ
$ 375.00
JAN 0 0 2014
?LEASE INVOICE IN DUPLICATE
DEPARTMENT IY I Y. ACCOUNT 1 I PROJECT I PROJECT ACCOUNT I AMOUNT
_=J
PAYMENT
I Ri AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.HUMMER IS MADE A
,1 C] PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
t{(1 R 0 N Vl I. 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. j' A. >ti,4 Icir
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. -ORDERED BY Courtney Schlaegel h /aLu ii.. ,.n.{ ( 18))•.y
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /'�'' Q �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36523 VENDOR COPY