101780 MIDWEST LANDSCAPING INDUSTRIES, INC r Pae1of1
0 INDIANA RETAIL TAX EXEMPT 9
City of Carrniel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101780
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
7/11/2018 372342 116th St.Median Upgrade 2018
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MIDWEST LANDSCAPE INDUSTRIES, INC Street Department
VENDOR 8455 CASTLEWOOD DRIVE SHIP 3400 W. 131st Street
SUITE 1 TO Carmel, IN 46074-
L INDIANAPOLIS, IN 46250- (317)733-2001
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
27494
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-504.00
1 Each 116th St. Median Upgrade 2018 $16,116.00 $16,116.00
Sub Total $16,116.00
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Street Department
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3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
l__ DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $16,116.00
SHIPPING INSTRUCTIONS 'A/P 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 EWITH
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 James Crider \!\
TITLE Director Administration/ \
CONTROL NO. 101780 CLERK-TREASURER VV 1'