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City of Carmel CERTIFICATE
FEDERAL EXCISE TAX EXEMPTO PURCHAlSEoOoRQDER(V820NUMBER
F i
ONE CIVIC SQUARE L 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
10/19/2017 128350 Additional Bulbs Out of Right of Way
HITTLE LANDSCAPING,INC Street Department
VENDOR 17778 SUN PARK DR SHIP 3400 W. 131st Street
TO
Cannel, IN 46074-
WESTFIELD,IN 46074- (317)733-2001
PURCHASE ID BLANKET RONTRACT PAYMENT TERMS FREIGHT
19951
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each Additional Bulbs Out of Right of Way $1,925.00 $1,925.00
Sub Total $1,925.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel,IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,925.00
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 LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ---
Dave Huffman
TITLE Director `\\
CONTROL NO. 100820 CLERK TREASURER \`��