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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
104141
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
9017715/3)*-39)5,)5>+688-9765,-5+-
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/16/202000350969
SHIEL SEXTON COMPANY, INC Brookshire Golf Course
VENDOR902 N CAPITOL AVE SHIP 12120 Brookshire Pkwy.
TO
Carmel, IN 46033-
INDIANAPOLIS, IN 46204 - Pamela Lister(317) 846-7431
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
48299
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1207101General Fund
Account:43-501.00
Each
16000330-INService Plan$4,612.40$4,612.40
Sub Total$4,612.40
Send Invoice To:
Brookshire Golf Course
Pamela Lister
12120 Brookshire Pkwy.
Carmel, IN 46033-
(317) 846-7431
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$4,612.40
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"+$6$,$90174-5:+)556:*-)++-7:-,$5,-4%223123-%5-1046**-'-)05512%9*135,)%&17)13()3#
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ORDERED BY
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Bob Higgins
TITLE
General Manager/Superintendent
104141
'10531.01#
CLERK-TREASURER