HomeMy WebLinkAbout100616 HITTLE LANDSCAPING, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of cjirrie]I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100616
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, 1111
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
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PURCHASE ORDER DATE i DATE REQUIRED REQUISITION NO.j VENDOR NO. DESCRIPTION
7/27/2017 128350 Dorset Median
HITTLE LANDSCAPING, INC I Street Department
VENDOR 17778 SUN PARK DR SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
WESTFIELD, IN 46074- (317)733-2001
I PURCHASE ID I BLANKET CONTRACT 7 PAYMENT TERMS FREIGHT
17601 ', I
QUANTITY i UNIT OF
MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-504.00
1 Each Dorset Median $626.81 $626.81
Sub Total $626.81
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Send Invoice To: : � -
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Street Department
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3400 W. 131st Street �, 1
Carmel, IN 46074- - 4 —
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(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 9.. _ AMOUNT
PAYMENT $626.81
SHIPPING 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 PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
"PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE OCA•t--- -._ /141/F'.°4—"""THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY —
Dave Huffman
TITLE Director
CONTROL NO. 100616 CLERK-TREASURER