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25809 A & F Engineers
C ity I o f C a r e CERTIFICATE N IRTIFICA REN TAX 00312 003120155 002 PAGE 1 11 1 O. 0155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 35- 60000972 2 S ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION ?Rm /k1/4 3 VENDOR SHIP O EIIS 0.-9...9.-V": ✓l TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION A I 4� r 141k O'Z0 -3 10.off i O TC9% 4 ;:k D \II CI 0._* 11- lA3a_iLe e p�1�e s �0 0 Ifs Send Invoice To: c_. �1 ".i ialr r r ©m G .09 s ilf f/f lf fj $I �2 2C' 22oo -ego PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT 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. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAI- THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION UyF PAY FOR THE ABO EORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY --FiA- PURCHASE ORDER NUMBER MUST APPEAR ON ALL III SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE if AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 5 8 0 9 CLERK TREASURER DOCUMENT CONTROL NO.' OFFICS.COPY'