HomeMy WebLinkAbout33076 CoStar Realty InformationCi
of Carmel �
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
4 INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
, FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
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
(rii- 4910/C
VENDOR
cos%rr Rem ! A/ Y4-Forimi yv\., Ti c.
/331 L kW
Wc(Sh:10-/M, .( • )poo 6- 9/o /
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
of Carnes
Der) . oFCeni ri �y I�plccfiUns
E(enoms� tied 61)w-tea-l—
one Clv'L -sCt LkOI La
Canem .l, zN �iicQ3z—
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
/kr' 1I3VIS60
1,
DEPARTMENT
COS -19w 3,61e of SeYwceS
PLEASE INVOICE IN DUPLICATE
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.
DOCUMENT CONTROL NO. 33076
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 UNQBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
ORDERED BY
• ' TITLE
CLERK -TREASURER
OFFICE COPY •
1