HomeMy WebLinkAbout25866 Grainger O o INDIANA RETAIL TAX EXEMPT
PAGE Carmel. CERTIFICATE NO. 003120155 155 00 00
1n1 •11Lr 2 0 PURCHASE/ /ORD 4 R MBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
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 p/. b
5 DATE DATE REQUIRED REQUISITION NO. VENDOR NO. 1 DESCRIPTION
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To 5A 1 ,0 l v 4,,, l' W
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/9°2 D/ PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVITATTACy D.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE ISANUNOBLIGATEDB NCEJN
THIS APP:: RIATION SUFFICIENT TO PAY FOR THE A OFQER. 1
e
SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 4
PURCHASE ORDER NUMBER MUST APPEAR ON ALL r
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE i A 'J�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 4, I
CLERK- TREASURER s... 4'
DOCUMENT CONTROL NO. 25 8 6 6 OFFICE COPY