HomeMy WebLinkAbout32636 Crossroad Engineersof 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 (03
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
3113115
VENDOR
Cross Road Er,g"neers
31-41-4 Sherman 0r %v.e
Beech Grov e, 1 N 4 (4,00-1
SHIP
TO
De pi: vF Er,Jv- eerlr'9
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT r
QUANTITY UNIT OF MEASURE
Send Invoice To:
DESCRIPTION
r-+Ste-N e
UNIT PRICE
EXTENSION .
Co. -P- act Dale: 5/1 /2013
A A $r18
2015 P I Rev i e w
PLEASE INVOICE IN DUPLICATE
202-- 431-10100
DEPARTMENT
• 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.
ACCOUNT
PROJECT.
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
DOCUMENT CONTROL NO. 32636
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
AMOUNT
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 APPROPRIATION.SUFFICIENT TO PAY FOR THE ABOVE ORDER.