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HomeMy WebLinkAbout32113 Residential Heating and Airof 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 j/ =, 3 - /6 '/.5". I 3 S5 70 % jlL ic- A Ag, ‚9-c 6... VENDOR la s %©e,u) ;4 Ate. s / L i SHIP 9 yC� . 6/Z A 0 )D - i -s S j k TO 9 gfirand , i) 4/6033 /a,26 a es.st, -/ >- i1 03-1 CONFIRMATION BLANKET / CONTRACT PAYMENTTERMS FREIGHT 0 FJ. 1.-- 3e) QUANTITY UNIT OF MEASURE DESCRIPTION , UNIT PRICE EXTENSION Send Invoice To: j3 i6c5/ -hag., � /--P G? /h l� /a o & 1« /-/-i2&' /2,6‘)2/ /fl i -f c, - - /7,e__ PLEASE INVOICE IN DUPLICATE I DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 4/ 3.5-0 I —c7o 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. 32113 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 HIS.APPRQPRIATION SUFFICIEIJT TO PAY FOR THE ABOVE ORDER. i a