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HomeMy WebLinkAbout32304 Van Ausdall & Farrar ity ®'Jllr/�° C 2 j INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER — FEDERAL EXCISE TAX EXEMPT 37(3115111 1 35-60000972 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 61py ' pttjiiiLS V wink_TladiSHIP VENDOR TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT • QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Will AuL0a,i 1 arpLeA 4 - =— ,7©A) /-6,----- -- , s ., 0 „„ ©,A „,--, ..•....•....."n4 0 ,,,..,,... , ..... .,,,,,„\„‘ .. Q . ,, ,!0„, / 14 0 . , a e, c ill "4„410Huik,,.\ Send Invoice To: 0, I - - _ fi 1,0( Vt r 1 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT 1 • 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. SHIPPING INSTRUCTIONS • I HEREBY C RTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APP•••i IATI v N SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ` / / , •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY '1 SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 3 0 4 VENDOR COPY