HomeMy WebLinkAbout32635 E&B Pavingof
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
32(n35
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
311 q j 5
VENDOR
E.4 B pay') , C
1-q 01-2 M+ ddle4+-owr, Ave.
Nob1eSV'1I1e -, 4 006
SHIP
TO
•
Ceocu, it , c E nJ ; n eeri rp
CONFIRMATION
BLANKET
CONTRACT.
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
En ir-e r
Projec 0-1-06
Cortrac--1- D a-t-C 8120/I'+
PLEASE INVOICE IN DUPLICATE
NAalr1 Sk'ree+ Impravernen°t 5
1007° Re+n-+burs ed
by (►�I D 0 1
NEE : 4,3953, 015. 91
q00- qty (028(t,'
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN WITH CHAPTER 99, ACTS 1945
AND ACTS'AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32635
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
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 CER rY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO NATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•