HomeMy WebLinkAbout32104 Harrell'sCi
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
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
j /
/ -Jo /�
36a6d
6iff.4r ;e s
/-7'9
VENDOR
SHIP
TO
42 /ao gg_a)14/ // 17 'y
1716o 2s
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
V
9,T 5?S
QUANTITY I UNIT OF MEASURE
DESCRIPTION
(
g/511/ve,a4
UNIT PRICE
EXTENSION
Send Invoice To:
3 K .sg,ec
/o2/a20 £w»- fZ? i' y
PLEASE INVOICE IN DUPLICATE
i/efooei, c�
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
.y3so ac)
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. 32104
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO
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 UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENrTiT .D•RAY-FOR THE ABOVE ORDER. ,