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0 -7, of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
< ` FEDERAL EXCISE TAX EXEMPT 100575
NE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
;AVOUCHER,DELIVERY MEMO.PACKING SLIPS:
.r: INDIANA 46032-2584- ._�, �
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM Ai ZO'1 ;:i BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCFIA r DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/1 20 128350
H' TLE LANDSCAPING, INC Street Department
VEND&: 1 78 SUN PARK DR SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
`° STFIELD, IN 46074- (317)733-2001
PURC! BLANKET CONTRACT PAYMENT TERMS FREIGHT
172'.. ----------
QUAN'' Y UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Depaa 201 Fund: 2201 Motor Vehicle Highway FND
Accc: It: 3-504.00
1 l :I 126th/Keystone West $3,686.44 $3,686.44
Sub Total $3,686.44
Sent't, ,e
Street ( f)a -sent
3400 'N' 31 Street
Carmel. 'N 374-
(317) 7 -20 1 PLEASE INVOICE IN DUPLICATE
t'• .NT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,686.44
G 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
*SHIP AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
`C.O.i,'. T'. F.ACCEPTED THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•PJB. T' R MUST APPEAR ON ALL SHIPPING LABEL
THS OMPLIANCE WITH CHAPTER 99,ACTS 1945
AND t• THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Dave Huffman \�
TITLE Director ("\
1 00575 CLERK-TREASURER ``