HomeMy WebLinkAbout32920 HWC Engineeringof 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
2820
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
417S1)5
•
VENDOR
N WC �n3ln ee-"
ISI N. Delaware sfre.et,
Sta,t-e 900 •
n 01; S, I N
4 Lo 2 04
SHIP
TO
p+- aF Ery "�eev,r
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
Err,. neeri`i)
PLEASE INVOICE IN DUPLICATE
De
co.,1r-act- 1Dc -e : y 115), s
ASA #i
Smal l S1'
Tabk
I
00
WI" 2c7, 500
2 So 50'I oo
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.
ORDERED BY
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER'99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 32920 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 CERTIF1V THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION ' DEFICIENT TO PAYI OR THE ABOVE ORDER.