26265 Heartland Growers 1 IINDIANA RETAIL TAX EXEMPT PAGE
Cif of Carmel CERTIFICATE NO. 003120155 002 0 �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST2$2 5 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
12/30/2011
VENDOR
Heartland Growers SHIP Street Department
TO 3400 W. 131st Street
2621 E. 186th Street Carmel, IN 46074
CONFIRMATION BLANKET Westruall, IN 46074 PAYMENT TERMS (317)733- 2O91EIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
Account 0042390.34
1 Each supplies $2,577.00 $2,577.00
Sub Total:' $2,577.00
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Send Invoice To: UV
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Street Department
e. 3400 W. 131st Street
Carmel, IN 46074
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO an
Carmel Street Department NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND $2 ,577 00
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 I HEREBY CERTIFYTHATTHERE ISANUNOBLIGATED BALANCE IN
THIS APPROPRIATION,SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.. n� a ��jj
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY s itu, "l/�� l/
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
It I 1 Q {fine /j
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ldr V- /1 L v, n 0,14--
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. :I 0 (1 v I
CLERK TREASURER t U
DOCUMENT CONTROL NO. 26265 OFFICE COPY