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1 11 1 1 11 1 1 1 CERTIFICCATE NO. O. 003120155 155 00 002 0
'PURCHASE
ORDER UMB�
S�/
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE f THIS NUMBER MUST APPEAR ON INVOICES, AP
CARMEL, INDIANA46032 -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
22 -AM FA eft i7�cm
('D/4/S-7 C i5_21)G r m e�'
VENDOR
X30 /2 /filk"/^".'`� SHIP irCeL C,' 1c te
V'ernan /4/f /L 2W/ TO CO rme-A9j IN 5L
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS en 17 1 �A�ir/ FREIGHT
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OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION x
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d eleuepd ►r 04641 Reit ir
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Send Invoice To: 1
�1�r /1 1 1
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I t6 44,,,! PROJECT ACCOUNT 1 AMOUNT
Sao? 6 d/ PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY ERTIFY THAT THERE IS AN UNOBLIGAT BALANCE IN
THIS AP PRIATION SUFFICIENT TO PAY FOR T V ORDER. I
CHIP REPAID. 41.-
C.O.D. SHIPMM ENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY A e2
SHIPPING LABELS. 6 Q .i,
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE �J J 1 ✓'e��/ v y r /1
N 'r`�/�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I+ 4
2 5 8 6 1 CLERK TREASURER
i DOCUMENT CONTROL NO. OFFICE COPY