HomeMy WebLinkAbout32638 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(038
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
1yI Iis
VENDOR
Cris Roc-d EnSine-ers
?3L1 Sou-r1-, Dave
8-eech Grove, N
4to1O1-
SHIP
TO
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CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS #
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
Send Invoice To:
UNIT PRICE
EXTENSION.
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113
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PLEASE INVOICE IN DUPLICATE
9
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. 32638
ORDERED BY
TITLE
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS'
/A 4 E PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERJ FY TRH HERE IS AN UIyOBLLIGATED BALANCE IN
THIS APPR•prI -7 eN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
LERK- TREASURER
OFFICE COPY