HomeMy WebLinkAbout32381 ALI/CLEo Carmel
INDIANA
CERTIFICATE N
c.TAIL TAX EXEMPT
. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972,.
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE
PURCHASE ORDER NUMBER
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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
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VENDOR 4C1a5 2J )I rW* S -iee-i
Ph)lcd.214)11.1a,--Pi4 I RIt' -3vg9
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
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UNIT PRICE,
EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
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DEPARTMENT
Lam` 11 TO 413__--7
1:17:n3i -roc-h D d Fee-5
ACCOUNT
PROJECT
PROJECT ACCOUNT
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. 32381
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
AMOUNT
Ogg, 5O
• 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.