HomeMy WebLinkAbout27619 SarcomPURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
Pt
V h/,h 91
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT-
.�<<Y-
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
5PR Co TY`
VENDOR Opp I' L O
CatiVY D 25x(2
Send Invoice To:
DEPARTMENT
QUANTITY UNIT OF MEASURE
4 /7 nu
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. 27619
DESCRIPTION
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PLEASE INVOICE IN DUPLICATE
02-
ORDERED BY
TITLE
CLERK TREASURER
OFFICE COPY
PAGE 1 e
PURCHAS ORDER NUMBER
2
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
UNIT PRICE
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 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED LANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE a PORDER.
'EXTENSION
AMOUNT
ACCOUNT
PROJECT
PROJECT ACCOUNT