HomeMy WebLinkAbout33136 David M Schwarz ArchitectCi
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
3343.6
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
VENDOR P&vii M. Schlraz Arthlfetls
1707 L. 5+, AV kite 400
SHIP CRC
TO 30 101ton 51,,5u1+e220
V16,h'In9-oh, D.t 20036 Lal' HeI,l.iy vi b(1)1_
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
OUANTITY 1 UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To
de5igh 5ertites -For hei-ek dna
ion-ctren(e Center — (on (CF}uek dengn
reimbursable expenSM -Co i+r&Uel
30 W fkn 61: %nJ-c 220
(&rmeA,IA/ '-11032
PLEASE INVOICE IN DUPLICATE
2tF 999.0o
X1,888,96
i9-48,17 q6
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
902
41460805
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. 3 31 3 6
ORDERED BY
TITLE
CLERK -TREASURER
VENDOR 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 I5 AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENTETO`PAY
YFFOR
j�THE ABOVE�ORDER.
(Q11,71
l//�. (iC7 /1 i • 1/^�r1 C
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