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y Carmel Y PURCHASE ORDER NUMBER
FEDERAL EXCISE EXEMPT 25 2._
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
61 /1\
Ec o1\6 CZ a- 0 -7 e r
SHIP 'D P.�S�-., ci LIVn -�Yi�
VENDOR
1 �2\ LCLJ.ve\ C:O.k \V 4e, TO
AScv1 Y' 4 to 23
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4
IC
Arc n �1� G -7 O 09-to .1 3
#d k-k\MI' v i eva`lfk- Nets 6..*ovkood
7 t
lair
Send Invoice To: C. i\c '1 f O_ -o 4 'q- boO
jl R
1 31H9, 21)10 (2...co j
4 57100 toe eso°I
PLEASE INVOICE IN DUPLICATE ct.c{ t so 1 C Zo Tie i1
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I 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 P OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T THERE IS AN UNOBLIGATED ALANCE IN
THIS APPROPRIAT NT TO PAY FOR THE BOI ORDER.
SHIP REPAID.
r C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE �J'4r9( `/49(4_,..e...._. Y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. k
C LERK TREASURER
DOCUMENT CONTROL NO. 25812 OFFICE COPY