26266 Hood's Garden \u
PAGE
l'' I I l\ Carmel. INDIANA RETAIL TAX EXEMPT
CERTIFICATENO. 003120155 002 0 PURCHASE ORDER NUMBER
y �YY FEDERAL EXCISE TAX EXEMPT
g 35- 60000972 p
ONE CIVIC SQUARE THIS. NUMBER MU512$6 AR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER. DELIVERY MEMO. PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12130/2011
VENDOR Hood's Gardens Inc SHIP Street Department
To 3400 W. 131st Street
11644 St. Rd. 238 E. Carmel, IN 46074
CONFIRMATION BLANKE1N3btosullte, IN 46060 PAYMENT TERMS (317) 733 -2001 FREIGHT
QUANTITY' UNIT OF MEASURE f DESCRIPTION UNIT PRICE EXTENSION
1 3
Account 0042- 390.34
1 Each plants $10,535.00 $10,535.00
Sub Total: $10,535.00
Send Invoice To:
I' o M C °off,
�11i�1J�f
Street Department
1
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
p NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE wag g.
Carmel Street De artment NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE ANDD�V
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI S •FJEIFNT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. i
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
26266 CLERK TREASURER
DOCUMENT CONTROL NO.- OFFICE COPY