HomeMy WebLinkAbout32839 Jake Laird Memorial Fundof
a'rmel
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
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
4195
Jake Laird Memorial Fund
VENDOR
20401 Country Pine Court
Noblolvllle, IN 48032
SHIP
TO
Cmrol Police Department
3 Civic 0quaro
Carmel, IN 48032
(397) 571
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
.EXTENSION
Account 00 52.G0
9 Each golf outing
Send Invoice To:
Cannot NACU Department
Attn: Pat Young
3 Civic Squam
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$500.00
Sub Total:
$500.00
$500.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Police Dept.
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. 3 2 8
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 CERTIFY THAT HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI? . ' FFICIENT TO PAY FOR THE ABOVE ORDER.
49..Qi1
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