HomeMy WebLinkAbout32112 Automatic Irrigation SupplyCi
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, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
3_ /�" /S'
3 -/6,-, ig:
m3s680/
.PA ,,,ter, A -K-1s
VENDOR
1/ 6. .51/fr.rbeilA1/41-)--)
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t..�/
SHIP
TO
,02-,a 6 L oic,sxot ; -Pk y
e £l, x%035
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
^
QUANTITY UNIT OF. MEASURE
DESCRIPTION
Send Invoice To:
61-1.kt. Co/19 ehi,
,1.2 -702 0 )3/2..a..)/c5.44 ,226,-
L476141 6/J 1..----Ai- 4716035
DEPARTMENT
6'7
PLEASE INVOICE IN DUPLICATE
UNIT PRICE
EXTENSION
4 3aa4.aa
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
'/3.5'64-0 )
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 2112
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• A/P 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_.APPRGPRIATION SUFFICIENT Tp PAY FOR THE ABOVE ORDER.
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