HomeMy WebLinkAbout32640 CHA COnsultingll1'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
32(o O
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
212 -II5
VENDOR
CHA Consul- E.inJc
,OO SOI�1 h Merl CIIC<n
kIr;.an S-Icrhor)
I p oI s
' la22S
SHIP
TO
Dep-k. o- E eerinc3
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
Send Invoice To:
E r y e r l .N5
Pro�ec-t 1'5 -O�}
UNIT PRICE
EXTENSION
C o .-, +v.- c4 D c I e
0212 "II5
PLEASE INVOICE IN DUPLICATE
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.
ORDERED BY
TITLE
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 CERTIF t HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI 161 y- •CIENT TO -FAY FOR THE ABOVE ORDER.
lG
CLERK- TREASURER
I ;DOCUMENT CONTROL NO. 32 6 40 OFFICE COPY .