HomeMy WebLinkAbout27681 Galloway Group TAX EXEMPT
City CERTIFICATE NOL 03120155 002 p PAGE
��wvv w+ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 27081
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
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
1111712011
Galloway Group SHIP Carmel Communication Center
VENDOR
TO 31 1st Ave NW
2571 Ferris Road Carmel, IN 46032
CONFIRMATION BLANKET CCINTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-600.00
2 Each 17X3OX18 Polymer concrete Handhole $229.67 $459.34
4 Each 241036X24 Polymer Concrete Handhole $455.00 $1,820.00
Sub Total: $2,279.34
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Send Invoice To: j�' T
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT n ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
\r PAYMENT �,�e�� nn
Communications NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNL5S6,279i 99AA 4
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•C.O. D. SHIPMENTS CANNOT BE ACCEPTED. I1 V y
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY IAA V
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Director
2 7 6 8 1 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY