HomeMy WebLinkAbout32634 Williams Creek Consultingof 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
S2- (039-
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
310115
VENDOR
r(itl.ct�7-+s Cr-e 0,s u
Iq Nor SylV SHIP
TO
Ir)dhc.t_r a_potIt., IN
44U-2.01-t-
tte.p +. of1 Er,Jc��,eBrir
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
' QUANTITY UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
�r,GJ1n eerir\S
C on+r a c t Dare Co 1 'F 1% `t
AsA #
P/t �ci inwr, , Red eve+opmen-+
PI o-r-1 - s 1 p r
r1 O6'ir i Ctt Xe 1`A ao+cr .
P 1 ark
PLEASE INVOICE IN DUPLICATE
00
$50,900- -•
250 — y350q 00
SA or rr w Gt + -e.h_
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 COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32634
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 APPROQNATION: SUFFICIENT TO PAY FOR THE ABOVE ORDER.