HomeMy WebLinkAbout32952 Midwest ConstructorCity 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
32152
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
VENDOR 1 1� C Ive3+ (on fi�i(.(G'I
COO S. kerit ucky Aire. , 5te 100
SHIP GR(
TO 30. W. ActIn 5f, Suite 22o
Carmel, IN N1��32
.L li 1 v . r• l.• 1 v .- ,j_ _
Y -, 10 c -.•-.i -
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
Send Invoice To:
chttive osier ' \hcreeoes -for
N 6,y1, 5+ fe.ek 5 (&`\e work Co r rt 4—
(01191 a1 tontre.0 Qrn ounf7P 0 %s. 31785)
PLEASE INVOICE IN DUPLICATE
UNIT PRICE
EXTENSION
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
902_ tfgG 095if
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. 32952
ORDERED BY
TITLE
CLERK - TREASURER
VENDOR 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
A.'