HomeMy WebLinkAbout32917 A&F Engineeringof 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
32a I -4 -
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
gIi0115
-
VENDOR
A� P 1rn91neerin9.
83105 KeyCivr e Crossln9
$u 1e 201
rTh an O. lig •
1-I(o2LI0
SHIP
TO
Deper4✓ren-4 oc .Emir eerir
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
Send Invoice To:
nCJlnee✓;�
UNIT PRICE
EXTENSION
C Onira Gt ate ogjl.l-I IIS
COr.iroCt Nun-4.7er 0C1.104 IG .OI
PLEASE INVOICE IN DUPLICATE
11621" Street - Gray Road
Supplerr,entoLl Request
Tpr ROLA'n Lb°L.er bes,Jcn
00
Nit = S95,200
202 - L1350ci 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.
j DOCUMENT CONTROL NO. 32917
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA . .ICIENT TO PAY F•R THE ABOVE ORDER.