HomeMy WebLinkAbout28998 Shumsky C i1 t f o f Carmel IrIT !L� It CERTTIFICATE NAI 03X201 002 0 PAGE EMPT
fL, li, V' �J+/ (Uj f� 1r.1L IE- Y>� LLLli PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28998
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AR
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
10/17/2011 A0000030 36,l2O Staff Uniforms
j S humskyy �i P�. Administration p
VENDOR 1W l. niaBX Park_ Pf it TOP ll!, i LU) l
Ind k3napoliS1 lM 144,
Wn%IRMATIGN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MGASURE1 DESCRIPTION 1 UNIT PRICE I EXTENSION
See Attached Requisition for complete breakdown. $13,315.85 $13,315.85
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Send Invoice To:
$13,315.85
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT 1 AMOUNT
1125 -1 -02- 4356004 -Staff Uniforms PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER IIAS THE PROPER S WOEN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE ISM UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Lynn Russell DK
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. /J
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE /L
AND ACTS EMENDATORY THEREOF AND SUPPLEMENT THERETO.
28998 CLERK TREASURER Ir
DOCUMENT CONTROL NO. VENDOR COPY