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]Jit)i ® (� iiirruie]I CERTIFICATENO.0031201550020\ FEDERAL EXCISE TAX EXEMPT 101794
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
7/17/2018 00352696
TMT INC Dept of Community Service
VENDOR 1719 W 161ST ST SHIP 1 Civic Square
TO Carmel, IN 46032-
WESTFIELD, IN 46074-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
27650
QUANTITY UNIT OF MEASURE ' DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-624.00
1 Each Tree Work $75,000.00 $75,000.00
Sub Total $75,000.00
,s.
N. `,
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Send Invoice To: `
Dept of Community Service
1 Civic Square
Carmel, IN 46032- r
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $75,000.00
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.0 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 79�,/Xsr�-5.--'G 1_,_,_., \6�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY _ tMike Hollibaugh James Crider �
TITLE Director Administration
CONTROL NO. 101794 CLERK-TREASURER