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32724 Williams Fox Entertainment
City 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 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 5f lail<5- VENDOR �/U I l IJC(ry'S Fo X E1 kC r'fltl n 0'Ue ik f 6jr (hd.a.. LOI1 I YY1 S — rv%r ' aq)Li glVCl E. 17r• 1414( atic pD X5I =n-) 4tp SHIP TO CI 04- 1 o4 Ccu n'w .: Cam U01 {t .4 (c 1Bnj 1)C0fi ON, G v► 5%. Cyr► ru I, TI) u t� 03"._ CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Z Z mono'\ ptv-i -o YY C.Ln (,e �Ycvlda (AJILIIarvIS 'N Send:.Invoice To: ;,I�o3 /LI3$goo3 �9 PLEASE INVOICE IN DUPLICATE DEPARTMENT • SHIP REPAID. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS • 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. 32724 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. ORDERED BY li14./t Y 1 TITLE l`'1/1. t-PiYWdUM-II /J{,,Ark-V r C( ©y. behp CLERK - TREASURER OFFICE COPY