HomeMy WebLinkAbout25868 Service Express /�-�y, Q..� Carmel INDIANA RETAIL TAX EXEMPT PAGE
1\ f arme CERTIFICATE NO. 003120155 002 0
PURCHASE NU
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35- 60000972 rf
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO PACKING SUPS,
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
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VENDOR y 5/15 a,r /M P�' 7 ad SHIPil rig( 0/ ✓it- If0 fi l
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CONRBMATION BLANKET CONTRACT M PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE J -DESCRIPTION-CL ••4 UNIT PRICE EXTENSION .Si.
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Send Invoice To j IJ 4 i/ 5 s' c..?„*.
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
F7D 5")C aI PAYMENT
NP, 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. 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. ORDERED BY �X/..7
PURCHASE ORDER NUMBER MUST APPEAR ON ALL t �,I
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 5... TITLL 4/ is_ by
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 25868 OFFICE COPY