HomeMy WebLinkAbout27617 Hamilton County GISPURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.'
DESCRIPTION
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CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
Ci
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
4
FEDERALEXCISE TAX EXEMPT
35- 60000972
VENDOR
QUANTITY
Send Invoice To:
DEPARTMENT
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UNIT OF MEASURE
64V-
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. 27617
DESCRIPTION
SHIP
TO
PLEASE INVOICE IN DUPLICATE
ORDERED BY
TITLE
PAGE
S I
PURCHASE ORDER NUMBER
;7117
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
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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 IS AN UNOBLIGATED BALANCE IN
THIS f�DROPP lATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
1
UNIT PRICE
AMOUNT
EXTENSION
ler
fai 315
ACCOUNT
PROJECT
PROJECT ACCOUNT
CLERK- TREASURER
OFFICE COPY