HomeMy WebLinkAbout31657 Wilds Restoration Services f� Carmel INDIANA RETAIL TAX EXEMPT PAGE\`_ 1 \
1111 JI11 CERTIFICATE NO.003120155 002 0 ""C`
�� PURCHASE-ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT _3)1,5-7
35-60000972 I
• ONE CIVIC SQUARE 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
-3?3.31 PI
\r•r\ U (--- ."e•0 / h co_5 , LLB C)'.( o, CFVv'10..
.�\ /�� SHIP
VENDOR 190 \ )V>S S\ACC1NK( Or../Q.--- TO C\VIC--
cl,gr/y)<5 ) - .N 1421ZS C-c C MC) , -r� –l?a–.5Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
�1a 21 Cgs-c-‘0--\ � - S-r-g 1,,,-� )Z. -.1 j(�
7 _'-
0 % S,
• a ,
t , t
0 .
Send Invoice To: e 0� °1 ••��
• f
I
•
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1 205 So\ PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFi4,THAT(THEE EIS AN UNOBLIGATED BALANCE IN
THIS APPROP• •TI N'SUFELCIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. (. -
/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY A
SHIPPING LABELS. , // / _
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �.VF_l//��1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C CLERK-TREASURER
DOCUMENT CONTROL NO. 316 5 7 OFFICE COPY