HomeMy WebLinkAbout32941 PKS ConstrutionCi
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, MP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6//r// s
VENDOR
P1(5 CIt1„ -t _rtoc.
A/co Sea A/rR/2L4't 4'
2 adAMpo- 7 Tit) Hbc / 7
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
la ?so -66
Send Invoice To:
QILYV;•7
CZ. o a Sgretaiel
(-a44J, X -N //4632.
PLEASE INVOICE IN DUPLICATE,
DEPARTMENT
Z65 -
ACCOUNT
PROJECT
PROJECT ACCOUNT
/, o 1/S; en,
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
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 CERTIFY TAT THERE•IS AN UNOBLIGATED BOLANCE IN
THIS APPROPRIATION' E.F,ICIENT TO PAY FOR TH ABOVE ORDER.
• /•
32941 CLERK -TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE