HomeMy WebLinkAbout32907 American Structurepointof Carmel
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
32 aotf
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
10/ 21 /I rj
...-
VENDOR
„Amer conn 'st-uc-i ure point
12(00 shcxdelctr,d St c,.+.o,-,
Ir cl i ttnc.po l;�, iN
-11n25lo
SHIP
TO Deperirn en -i. o;' Er,3 in eerinf
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
- . FREIGHT
QUANTITY UNIT OF MEASURE
• DESCRIPTION
a
. Send Invoice To:
ncyn ee r1 ns
UNIT. PRICE
EXTENSION
i.0
`Coflyt1i'4C* Da+ -e: 312b/13
�Aal+kz,
I I lino; s °$+:;ee+ to 01d
t'Aerl c' arm - COnsH*VCtiOrt
Ir speci;or�
PLEASE INVOICE IN DUPLICATE
2Oio Bond
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 CONTROL NO. 32907
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 CERTIFY -A�THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI NSUFFICIENT TO PAY FOR THEABOVE ORDER.