HomeMy WebLinkAbout32926 Crossroad EngineersCi) of
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
3292 Co
THIS NUMBER MUST APPEAR ON INVOICES, ALP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
19IIU115
VENDOR
Cross Road Er'5ci neer'
SH Sk.trrr,an O:,ve
1eecH Gov ve ITJ L11, I04
SHIP
TO
Ocp+. of EI--.9;.-neerir15
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE I
. DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
Er9l eerir.5
PLEASE INVOICE IN DUPLICATE
Co-ly pc.1-e: 2Oil 3
Project 10-10
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•
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.0 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
CLERK -TREASURER
DOCUMENT CONTROL NO. 32926 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 CERT! THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP• •N 'CIENT TO PAY FORTHE ABOVE ORDER.