HomeMy WebLinkAbout32916 Fluid Waste Serviceof Can til
ONE CIVIC SQUARE
. CARMEL, INDIANA46032-2584
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
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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
(111511S
VENDOR
Flu d W as1-e Sevvl cec. 1 ne.
2..
va P•verve God Ave.
NobleSvi'te IN
`1(00(02
SHIP
TO
Dep4. o- rV'TS,.neertr�
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY '
UNIT OF MEASURE
1
DESCRIPTION
-^"•aUNIT•PRICE-•^ +""
'EXTENSION'
. -j
•
Send Invoice To:
e r,s;ne•eri
CorntraCt No: 09.15.15.01
Cornne1 8N1P Clea �j
O- cl 3+0rrn waver Video
CoraraC.t
PLEASE INVOICE IN DUPLICATE
o
NT: 4120, OOO-_.2
250 - 43509 00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• COD. 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
CLERK -TREASURER
DOCUMENT CONTROL NO. 32916 OFFICE COPY
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY T • T THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT • UE CIENT TO PAY FO' THE ABOVE ORDER.