HomeMy WebLinkAbout32922 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
32822
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
y /WI 5
VENDOR
t-IWC EnCgirreerirIQ
I 5 I NI. De law cxhe Street
SLAIF-e Boo
rCII at, CLpc) 11S, 1►�I
44 (92 044
SHIP
TO
Dept.
E'�5�r,ee•ir��
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION ,
UNIT PRICE
EXTENSION
Send Invoice To:
Ev- '- ,eer-1r-1j
DEPARTMENT.
Co•-� act Daa-e : y 5 1 1 15
C o r--t,- a c+ 0 4 - 1 . 1 5 - . 1 5
PLEASE INVOICE IN DUPLICATE
ACCOUNT
PROJECT
Smc \ St -LIc1 L1/e
Rep1 Cer—er,r
S-Fruc+tkfes SC", 101, t.O2
0
KITE: 22q,3'-15 0
250 -I- 1350900
PROJECT ACCOUNT
AMOUNT
tl
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. 32922
ORDERED BY
TITLE
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 APPROPRIATIO FI IENT TO PAY FOR THE ABOVE ORDER.
CLERK-TREASURER
OFFICE COPY".