HomeMy WebLinkAbout27212 Kingswood Farms (PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
F PPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
VENDOR
BLANKET
TY
CONTRACT
UNIT OF MEASURE
PAYMENT TERMS
DESCRIPTION
UNIT PRICE
CONFIRMATION
QUANTI
Send Invoice To:
4/S4 /V 2r
L/IL) C i 1/l c.• U
C e.C, /L) 44_1_
DEPARTMENT
[)(&d e rn 5
a.
&Y
C;t:-.
SHIPPING INSTRUCTIONS
i REPAID.
.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. 27212
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
SHIP
TO
/91 i f dpi 41 S ,/1 e_u CG/
PLEASE INVOICE IN DUPLICATE'
ORDERED BY
TITLE
CLERK TREASURER
A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE:
C
I
o blOcs
OAl2 CI VI
C t Lm tiL., r q 3
FREIGHT
4'2 Oo
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 PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CER)IFY'rTHAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP DTI ON SUFFICIENT TO P FOR THE ABOVE ORDER.
AMOUNT
EXTENSION
610
ACCOUNT
PROJECT
PROJECT ACCOUNT