HomeMy WebLinkAbout32929 Smock Fanslerof 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
32829
THIS NUMBER MUST APPEAR ON INVOICES, A'F
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER:DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
723115 -
VENDOR
SrnocK Fans len Corporation
2gIp W.} 4inneso'ic..Smeet
Indy ar,apo, INI 4 La24 1
SHIP
TO
Dept. o€ E gir e er r
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS.
FREIGHT
QUANTITY
UNIT OF MEASURE1 '
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
�n9 tr,e eel F.' A3
Conk ac.4 : CR. 23.15. O I
Cont-uct IDa{-e = r2_31.15
Veyt+one and Main
Sh-eei
Round 0.bOX.At Lands capirS
PLEASE INVOICE IN DUPLICATE
14 6
NTE : 8 Sg3,$q'-j
2O1 O COIT Bond
DEPARTMENT
1
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. 32929
ORDERED BY
TITLE
CLERK -TREASURER
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 CERTXV THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPIZIA S. EFICIENT TO PAY FOR THE ABOVE ORDER.