HomeMy WebLinkAbout33134 FVB EnergyCi of 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
33134•
THIS NUMBER MUST APPEAR ON INVOICES, A'P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED REQUISITION NO.
VENDOR NO.
DESCRIPTION
VENDOR FVB Energyfin
c'
122 S. Nlnk\ 5+. ,Su1Ice 82.5
pitnne4,lis, SIN 55402
SHIP c11L
TO 30 \,,/ 51-. , Sup*e 220
C dr mel, T N '41032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
• EXTENSION
Send Invoice To: L R‘
30 V.iltun 3t.,SudeU
CArtrA,IN 86032
i fltwn Disfric+ Energy Pre-cesMiili}y 5faly
PLEASE INVOICE IN DUPLICATE
12,500.°°
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
902
4350900
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. 33 1 34
ORDERED BY
TITLE
CLERK -TREASURER
VENDOR COPY
PAYMENT
• AP 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.
• 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFI E T TO PAY FOR THE ABOVE ORDER.