HomeMy WebLinkAbout27616 The Mirazon GroupPURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
hi d,-
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
VENDOR
1 'la Z CtV
3,1 (A/ A 4,71516N
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QUANTITY J UNIT OF MEASURE
DEPARTMENT
DOCUMENT CONTROL NO. 2761.6
City 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
34, 2- hAlq- 00 0 5 4
5)5742— ...11,0o4Q
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SHIPPING INSTRUCTIONS
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. L.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DESCRIPTION
1
0
SHIP l//
TO t /40 3-z-
ORDERED BY
TITLE(
Ca r rn I
PLEASE INVOICE DUPLICATE
ACCOUNT
PROJECT
1 'PROJECT ACCOUNT
PAYMENT
A/P 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 HEREU,G-ERIIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THISZPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
UNIT PRICE
PAGE
PURCHASE,6RDEA NtIMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
j.
4 EXTENSION
AMOUNT
CLERK-TREASU,RER
OFFICE coly,r.