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INDIANA RETAIL TAX EXEMPT Page 1 of 1
of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100572
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
7/17/2017 128350 96th/Towne
HITTLE LANDSCAPING, INC Street Department
VENDOR 17778 SUN PARK DR SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
WESTFIELD, IN 46074- (317)733-2001
PURCHA` ;': BLANKET CONTRACT PAYMENT TERMS FREIGHT
17207 ----
QUANTITY , UNIT OF MEASURE DESCRIPTION j UNIT PRICE EXTENSION
Department. 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-504.00
1 Each 96th/Towne $858.94 $858.94
Sub Total $858.94
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
C `,ITMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $858.94
P!"iG INSTRUCTIONS *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
SHIP PREPAIi AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SH'PPP :.:..NOT BP ACCEPTED THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE UMBER.,..IMBER MUST APPEAR ON ALL SHIPPING LABEL
*THIS ORDER 1 COMP/A:4CE WITH CHAPTER 99,ACTS 1945 ^
, ``\
AND ACTS f... TRY THEREOF AND SUPPLEMENT THERETO, ORDERED BY
Dave Huffman
TITLE Director \�
CONTF 0. 100572 CLERK-TREASURER