HomeMy WebLinkAbout31794 London Witte GroupCl of Carmel
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
3/7c1q
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
FREIGHT
VENDOR London WIIle &roil
1716 N Meriaien 51.1 5u`Ike 500
SHIP C R(
TO 30 W /L1(Ih 4L/ iui{e 2z0
_n41&nAhliS,1N L411202 In ruin , i/U IT4 05L
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
OUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To
(a(
30 W IWI 4. / 5( ife 2.20
(Wild, TN 44032
6((euni'ln9 Ong - SvnnrvUrtl i'vi5er'l 5erVi(es 124,900,00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
'902
1134 0303
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.
ORDERED BY
PAYMENT
• 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 BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AL �'I(OA(Q
TITLE 0 .i7 . �� I'Gl!('I f 11 -e( yi-vm 0.I,.
q A CLERK- TREASURER
DOCUMENT CONTROL NO. 317 94 A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE