HomeMy WebLinkAbout32592 Hoosier Portable RestroomsCi
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
325 -9 -
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
rii15IIC
VENDOR
I-1oo51tr Pori-abtc IZ[Strvorns
aaoi E. 99t" S+-
Tndlanapuli5 =t•3 46,2$0
SHIP
TO
CIS of Carrvwt
CommunitTj (2cia++oJ Depa-.
ON Colic 5 •
CarrruI, TN 06,032,
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Pot fabl.c (°Styaot1s 4 tv'alt.Cr Wr+ at Wivtt4 11rt-omob11la
ra Sc. %I-rm.( includivid trOSh bcotn
Send Invoice To:
12o3)y35'4ob3
PLEASE INVOICE IN DUPLICATE
5b f, q Do bO
1 i QUD• 00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT 8E 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.
DOCUMENT CONTROL NO. 32592
ORDERED BY pn,
TITLE �I/i G] ��ina41I / Q 777��� ,��� `
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 THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFF)CIENTiTO PAY FOR THE ABOVE ORDER.
CLERK -TREASURER
OFFICE COPY