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CPURCHA' 3,7 o Iairrrie1 CERTIFICATE NO.003120155 0020 SE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00574
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
;AR`JEL. INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM AF ROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHAS: "%RD['P DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Hawthorne West @ Carey Rd. !
711 ,'20"7 128350 1
I
HITTLE LANDSCAPING, INC Street Department
VENDOI. 17778 SUN PARK DR SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
WESTFIELD, IN 46074- (317)733-2001
PURCH "R BLANKET CONTRACT 1 PAYMENT TERMS T FREIGHT
172(:
QUAN` "Y UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
I
Departn it: 201 Fund: 2201 Motor Vehicle Highway FND
Accor::it: 43-504.00
1 I ch Hawthorne West @ Carey $2,086.93 $2,086.93
Sub Total $2,086.93
Send In ce
Street C ,parment
3400 W. 131sT Street
Carmel, . J 4,.074-
(317) 7: -20C 1 PLEASE INVOICE IN DUPLICATE
ENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $2,086.93
Mr ":=INSTRUCTIONS *NP 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
*SHIM i',El AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.0 I- JT C. .v f PE ACCEPTED THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PJF.,:, . MUST APPEAR ON ALL SHIPPING LABEL
*THIS F` � BIJANCE WITH CHAPTER 99,ACTS 1945
412.4.---,-....7)/4-11—
AND%.0"b: -;FR=OF AND SUPPLEMENT THERETO. ORDERED BY
- ---- — -
Dave Huffman
TITLE Director 1
C:'. )L i 1 00574 CLERK-TREASURER