HomeMy WebLinkAbout32912 Williams Creek Consultingof 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
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
lo1ls115
'
VENDOR
\N;II Cu -ns Creel_. Const, liiry
Co IR N3or-th Penns s Ivan, C.
r1Cli Ctrl Ct.p 0 s, i J
447201-
S tree+
SHIP
TO
E rm91.-, e.en'j
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
'
QUANTITY I UNIT OF MEASURE
DESCRIPTION
Send Invoice To:
Gr1.51n een 43
UNIT PRICE
EXTENSION
Qon1-roCi- JO..t .Is, Ot
-99:2= —cam el
CoeTh+rac-t•.bake ; 10115/ IS
PLEASE INVOICE IN DUPLICATE
0;+y Certer
Ana lys '11
DrCL-JCOLS e
00
NTE.. cl$,to00
250-L}350900
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.
ORDERED BY
TITLE
CLERK -TREASURER
DOCUMENT CONTROL NO. 32912 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRQIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
l�„ I
4