26273 Engledow Group I 41 \1/ .1 1 1 1 ..LL l o f1111 Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER Mln.t TrfAR ON INVOICES, AJP
CARMEL, INDIANA 46032 -2584 VOUCHER, DEL117n7 MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
F ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1
212712012
VENDOR Engledow Group TDHIP Street Department
3400 W. 131st Street
1100 E. 116th Street Carmel, IN 46074 CONFIRMATION BLANKET CONTRAC PAYMENT TERMS i FREIGHT
QUANTITY'. UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-504.00
1; Each irrigation maintenance $5,365.00 $5,365.00
r Sub Total $5,365.00
O
ill i,
Send Invoice To: 000,
Street Department
33400 W. 131st Street PLEASE INVOIC IN DUPLICATE
DEPARTMENTm me!, It 46074- ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
a A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
f. NUMBER IS MADE A PAR J OF THE VOUCHER AND EVERY INVOICE AND $5,365.00
Carmel Street Department VOUCHER HAS THE P O pER SWORN AFFIDAVIT ATTACHED.
j SHIPPING INSTRUCTIONS 1 HERESY CERTIFY T T THERE IS N UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATI TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. l.-T.. 0 1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. e r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 2 7 3 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY