HomeMy WebLinkAbout101148 JOSEPH PATRICK HETTLE I
INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cityof cI1airiiiiie1
CERTIFICATE
FEDERAL EXCISE TAX EXEMPT PURCH 011 ��UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/14/2017 372134
JOSEPH PATRICK HETTLE Dept of Community Service
VENDOR 39 CIRCLE:DRIVE SHIP..1 Civic,Square:
TO Carmel, IN 46032-
CARMEL, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21826
QUANTITY UNIT OF MEASURE DESCRIPTION. UNIT PRICE 1 EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-590.29
1 Each Facade Grant $2,688.25 $2,688.25
Sub Total $2,688.25
_ I
w
,x
is \. .-a - S
4 '
I
ra
Send Invoice.To:
Dept of Community Service
1 Civic Square u
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,688.25
SHIPPING INSTRUCTIONS
'SHIP PREPAID.
*PNP
VOHOTAPPROVED PAYMADE PART OFU
UCTHE ER VOUCHERCANNANDBEAPEVRERYVINVOICEFOR AND MENT VOUUNLESSCHER HASTHE THE P.O.PROPERNUMBER SWISORN A
AHi ETIFY T HBNCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THISAFFIDAVIT APPROPRIATIATTCONED.SUFFICIENTHERBYCERTO PAY FORTHATT HT ABOVE
ERE ISAN ORDERUNO.LIGATED BA LA
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945%
ORDERED BY
- ,
AND ACTS AMENDATORY THERE OF AND SUPPLEMENT THERETO.
Mike Hollibaugh /
TITLE Director n\\
CONTROL NO. 101 148 CLERK-TREASURER