HomeMy WebLinkAbout32109 Central Restaurant ProductsCity 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 is
THIS NUMBER MUST APPEARON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPAONDENCE.1
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
(9--// )/5_.
/''% S"
361si4/
/72,7e#, ,0E- 4 2 ev '!
VENDOR
p-oouzr
P .0 Bolt' 716% 6
SHIP
TO
/02/.20 ,a, Kg#, ee pk_oy
euka', ,J <7/60 33
'CONFIRMATION
- BLANKET
CONTRACT
- PAYMENT TERMS
FREIGHT
UNIT OF MEASURE I
DESCRIPTION
UNIT PRICE
EXTENSION
hcz-.7 Sg.t %ES at' ,e;113nL );&!+
Send Invoice To:
/2061(05/7L,:e& (Q /P e /wb.
%a/a0 ,3, fl/'L G
IJ 69- y6.3e
PLEASE INVOICE IN DUPLICATE
Iffq99o9
, 1i4 ?g6%- 1-4/29e°
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DEPARTMENT
j /%
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
44/0630 oiD
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. 32109
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 TOJf'AY FOR THE ABOVE ORDER..
TITLE (Prn /7 i /h./ "+wG . /
CLERK - TREASURER
OFFICE COPY