HomeMy WebLinkAbout32610 Zagsterof tarmei
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;co 10
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
6/3/dols
VENDOR
Zags+e,r,C.
2H 7)vorn d Ke gree&, Su6+e2
eprobriage, M 021N1
SHIP
TO
Cilv Q -p Carmel
IJt�a. of Corn nitA r" h 1-4-1C&4\ims
e -( ono vhiCa Deve1 yvhevrf'
Ca rwt11 1 Nl y(40 0 32
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS -,�
FREIGHT'
QUANTITY UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
1}04: 5 I G��FunV mce.c vie-
G(ununtic BNeia LjZ5-r13D(.)
S
I 5 441 I ogle! I/c,
{ I Lal
• wQnp,
9 6 1 -ns I...!
c'.0)NomtZo(rv_c%L0
.5.`1 37
'0o
Send Invoice To: i !
,B;II GC+ Fkin./ 13.1)KeSw1yp--
PLEASE INVOICE IN DUPLICATE
ao, .900
4/3,370
TETAL: $ 33,290.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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
n CLERK -TREASURER
DOCUMENT CONTROL NO. 32610 OFFICE COPY
PAYMENT
• MP 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 THA THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION UFFICIENT TO PAY FOR JHE ABOVE ORDER.