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of 1II1arririie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00576
NE CIVIC SQUARE 1 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CA' 'EL INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPRCD BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE C%F?`' DATE' DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/17/20 128350 Olivia Building
I-' TLE LANDSCAPING, INC Street Department
VENDOR 1 '78 SUN PARK DR SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
V
STFIELD, IN 46074- (317)733-2001
PURL ': BLANKET CONTRACT PAYMENT TERMS FREIGHT
17211 C
QUANTITY UNIT OF MEASURE DESCRIPTION [ UNIT PRICE EXTENSION
Department 206 Fund: 101 General Fund
Account: .3-509.00
1 Eacl Olivia Building $3,328.63 $3,328.63
Sub Total $3,328.63
Send Invou;c;
Street Dep: ment
3400 W. 13' Street
Carmel, IN ..074-
(317)733-2. 1 PLEASE INVOICE IN DUPLICATE
TE
-
.ENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $3,328.63
NG INSTRUCTIONS *AlP 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 PRF...'rP:IC AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.3 D.5!.. '. CT RE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
r r l \ %1,1ER MUST APPEAR ON ALL SHIPPING LABEL /
H S 0R , OMrt.ANCE WITH CHAPTER 99,ACTS 1945 /1.1,---.-01.--,.i
ORDERED BY ~''C`'`''' " ' `�
ANL AC-1 -'Y HEREOF AND SUPPLEMENT THERETO. - _ - - -
Dave Huffman `�
TITLE Director /�
CC" ._.\I.: 100576 CLERK-TREASURER \