HomeMy WebLinkAbout32367 Bose McKinney EvansCi of Carmel
bE +,. oC La LJ
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
3a 3(.07?
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
lQ1151/Li
Bose Mc, nni 4- Evans, LL
VENDOR
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
1 osa-1 serves rendeOcl ID
-tke C. +y off' .P-er +-1tie
atiac i
aold Encumbrance
PLEASE INVOICE IN DUPLICATE
4;23, oco , 00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Lo 1,3 11$o 1430-0000
Le16 I r-ees
. SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
DOCUMENT CONTROL, NO:.3 2367
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
PAYMENT
AMOUNT
$a3,coo.co
• NP 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 AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALA 1 IN
THI - - • FFICIENT TO PAY FOR THE ABOV . -,
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