HomeMy WebLinkAbout32918 Crossroad Engineersof CarrnTel
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
i
PURCHASE ORDER NUMBER
324318
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
q1421115/ I
VENDOR
Cross R oaci Er+3J;n &err, (t
;LI v3 Shermo�n DrIVe
Fseech Grove, Inl
NIoIOR
SHIP
TO
Oeportmern r Of 'Evis; reart et!
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Send Invoice To:
Er,Jclneerl�
x-519,
Co,-,trocA bo -i -e ; mt/08116
PLEASE INVOICE IN DUPLICATE
11'Dr6.tnase
imprO.vern-ent Ser"
N -TE : 4 100, 000
-230- L.1350900
COS
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.
DOCUMENT CONTROLNO:'i2918.
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PAYMENT
• NP 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 CE TIFY THAT THERE IS AN UNO9LIGATED BALANCE IN
THIS APPRO O FFICIENT TO PAY Oh THE ABOVE ORDER.