HomeMy WebLinkAbout32957 Roxx and BaruzziniCi
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
5115.7
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
VENDOR K01/2 and t tukt-Li 'Hine.
5. brckra K
Si. Lou's 1^p 3119
CONFIRMATION BLANKET CONTRACT
QUANTITY UNIT OF MEASURE
SHIP CFI
TO 30 V Mail, 51., fuife 22o
(WrInd ,14/ q(,O3z
PAYMENT TERMS
FREIGHT
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To: L R(
TLL cT %li{i Wh Ehery./
5$-Fem h5i�l�iiJ
10 \vi N.a)\ S1. , Sure n
(ermelp IN 'L -bo
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
00 37_
lfhetttlo
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.
II DOCUMENT CONTROL NO. 32957
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.
1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE Qii • 63 2ec /'
�6-eDnevniA T
CLERK -TREASURER
VENDOR COPY