HomeMy WebLinkAbout32590 Judah and the LionCi
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, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
50lis
Judah and fie. LIt11 LLc,.
VENDOR 000 Glevl Echo uo_cl , Su1+ 105"
NCisinvtilt,1 TN 3�a►5-
SHIP
TO
C1N Cov h(1 4-t
Cbrn mun 1i-u 12.e. aiiova "DA p+
Ole Civic UScb-
C 1, '71\)
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
O + Do' f'1'K.(tail") ntv t 4v 41AR. IfivtS Dis1.)A D1Sf,->Gr
4' v'f w' S atUrd a l j Jul (6 I $ , J 015
Send Invoice To:
$
514 / f � u1-t1C,i- "R S-h V (LI S
Cum . R./iano1) & i;, d
PLEASE INVOICE IN DUPLICATE
EXTENSION
01-11000. °D
11 I -I, 000 .
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
I ®0 CLERK- TREASURER
DOCUMENT CONTROL NO. 325 9 OFFICE COPY
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 A PROPRIATION SWFFI' TENT ,O PAY FOR THE ABOVE ORDER.
ip
lJ C�J ,
I� � 0"71 ad-144444;i`7 a pi k-Cco,„ L 44,