HomeMy WebLinkAbout32940 Leach & RussellCi
of Gemmel
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
3) 9 #/0
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
L//o//5
PLbILI.) , 1 H4-174-,
VENDOR
/I !'/L L.6. CII. -1\)_tta-17 pr.,CC✓4c.nce:c-.f
/ 5f/ FG -SII
f1.Bu) r T A' l/ 6 65S
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
C , l /
/;T.:, Tci-1 rC
i„ „ , � cC 'rya
N /,/z GJ z
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
/ l U 5—
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
/15 r
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 PO.
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 APPROPRIAYIQN.SU .EICIENT TO PAY FOR THE ABOVE ORDER.
CLERK -TREASURER
DOCUMENT CONTROL NO. 32940 A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE