HomeMy WebLinkAbout33090 Jonathan Byrd'sCi
of Car el
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
33090
THIS NUMBER MUST APPEAR ON INVOICES. AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED _
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/9/2015
VENDOR
Jonathan Byrd's
P. O. Box 413
Greenwood, IN 46142
SHIP
TO
City of Carmel
Dept. of Community Relations &
Economic Development
One Civic Square
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
OUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Fundraising Event Sponsorship - Deposit
Carmel Youth Assistance
Send Invoice To:
1203/R4359000 $2,762.00
1203/4359000 $ 121.96
PLEASE INVOICE IN DUPLICATE
$2,883.96
$2,883.96
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. 330 9O OFFICE COPY
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER I5 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 APPR••PRIAT • UFFICIENT TO PAY FOR THE ABOVE ORDER.