HomeMy WebLinkAbout32911 Municipal-Conntractors Sealingof 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
32911
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
IQ1I5)15
Munncipa
prod_-ICf
COV, #r C+ C40K
VENDOR .� 4O Rein LnolcI Dare
is
CI n 4,‘..1Thet-1I , O+-1 I -1523R
Sealy
SHIP
TO
bepH. O.ns or\ ecenns
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
1 ' s. FREIGHT
QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To:
Er3inee.:FNs,
PLEASE INVOICE IN DUPLICATE
CCLrme1 Drive
MOnor, 'Trill 1
CL Iveri-
00
NTS: g4�,100—
250 - `-13509 op
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. 32911
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 T AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT76NIUE .ICIENT TO PAY FOR THE ABOVE ORDER.