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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PAGE
PURCHASE ORDER NUMBER
31795
THIS NUMBER MUST APPEAR ON INVOICES, AJP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
(CHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
IENDOR MC `otn -5 Eh91heeriny
1717 E. 1ld+h Sf, Saife 200
Cprmcl,TA/ `F602
YIFIRMATION BLANKET I CONTRACT
SHIP r R C
TO
PAYMENT TERMS
3o V. /101 5+, it ife 220
Cern,cl,T_N oo5z
FREIGHT
OUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
E_h9lheet-iny -dot- FOS 1/4
Ty v1/455
T2 retetr
Send Invoice To: C R
'30 V. Abih S+.
c&rtne1,TN 0,022-
PLEASE
,032
•
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F T t
PLEASE INVOICE IN DUPLICATE
po,00e o0
DEPARTMENT
902,
ACCOUNT
Lf340/00
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 OROETI ISSUED IN COMPLIANCE WI II -I CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF ANL) SUPPLEMENT TI'IERETO.
DOCUMENT CONTROL NO. 31 (9 CJ
ORDERED BY
TITLE
CLERK -TREASURER
VENDOR COPY
PAYMENT
• AT 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
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