HomeMy WebLinkAbout27411 Umbaugh L t ty o f Carmel l INDIANA RETAIL TAX EXEMPT PAGE
1111 1111 1111 CERTIFICNATE NOO 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 a I
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 REOUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
u lt( //l'��Y SHIP
VENDOR
VVV TO
1
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
i
QUANTITY UNIT OF MEASURE DESCRIPTION F UNIT PRICE EXTENSION
1 ki ,�rV ICe 5 OD
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4
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jOo.
Send Invoice To:
r�1/lillJlt
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT 1 AMOUNT
L3 404Ub //U n PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS Talc'
alc I HEREpY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THI$ OPRIATI SUON FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. Il
•Q SHIPMENTS CANNOT BE ACCEPTED. I/
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 27411 OFFICE COPY