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24723 ERS, Inc.
C0 INDIANA RETAIL TAX EXEMPT PAGE °�\ o Car e� , CERTIFICATE NO.003120155 002 0 \\��1.//// of \��/// JJII PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT \'''\ .ThJ 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 IPURCHASE ORDER DATE DATE REQUIRED . REQUISITION NO. VENDOR NO. DESCRIPTION. 611212015 \- c:t....-s. ov,C.) . 'o : yv��� --- o�ti. V ERS, Inc. Carmel Fire Department VENDOR SHIP 2 Carmel Civic Square TO 8450 West Washington Street _ Carmel, IN 46032- Indianapolis, IN 46231- (317)571-2622 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY `UNIT OF M\SURE, DESCRIPTION UNIT PRICE EXTENSION -_J 1 Each Removal of Fuel Tank- Sta. 41 $3,854.00 $3,854.00 .© .••o ? 40 ''444:41**8.1‘ ) ,. A''. t4iiiiik \... * : CI .AA, — : * 'Os * 'I.": joi , N, . : , * , .. ,,,,,. . ,,,,,,,„„ . ..,,,,„ . # 'N.114, '''. ** ' '' '':--1::' TA L f '- .' ''''''' ,t New-y , „. ,.'7,1k:Ok', ./ + SI ' ;- Send Invoice To: jj Carmel Fire Department 2 Carmel Civic Square °� Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Fire Dept. 43-501.00 PAYMENT t3 854-00 • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THETP.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS / • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �. � /{' •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ` - ---- - SHIPPING LABELS. \� •',S _:."l •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ,' F \ �'V-�=' \ ' \ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v \ \ 24723 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY: