100613 HITTLE LANDSCAPING, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100613
ONE CIVIC SQUARE 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
7/27/2017 �_�----�--- 128350 Mulch Around Palladium
HITTLE LANDSCAPING, INC ✓ Street Department
VENDOR 17778 SUN PARK DR SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
WESTFIELD,
IN 46074- (317)733-2001
PURCHASE ID ! BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
17596
QUANTITY UNIT OF MEASURE i DESCRIPTION UNIT PRICEEXTENSION
i
Department: 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each 2017 Mulch around Palladium $4,877.11 $4,877.11
Sub Total $4,877.11
✓' a `1 .. ',. £ ,
1
,
i
t
a a s
Send Invoice To: . �fr, : fr
Street Department
3400 W. 131st Street _ t ,-
..;, sty m t,; '"
Carmel, IN 46074- , �
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $4,877.11
*NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 LABE at----.... /411---"zt''"*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYDave Huffman
TITLE Director
CONTROL NO. 100613 CLERK-TREASURER