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v G t I C arme INDIANA RETAIL TAX EXEMPT PAGE II OJ II J l l r I'�./ CERTIFICATE TAI TAX EXE PT 0 PURCHASE ORDER NUMBER !!r FEDERAL EXCISE TAX EXEMPT a 73 3 D 35- 60000972 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 iv2/lI�'' I ASAP Work_ 5PaCL 3 °ILA.- 1u m e,� G ay (Aft VENDOR SHIP CO 9 !9 �olllSt 1 �a�. TO G T,� `6tc r 63 1 id 466-61-5- CA -,�,t ��t! 160 CON BLANKET CONTRACT PAYMENT TERMS FREIGHT 1 i QUANTITY UNIT OF MEASURE DESCRIPTION VW PRICE EXTENSION -j 0 n 3 feI,J (A)o _s- 'I 0A S CAS am O ok- C ru.w`. /01 `f 70. 33 dLAn4e r -O ©1 tii 9. �n) t Send Invoice To: V /2 PLEASE INVOICE IN DUPLICATE DEPARTMENT" ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT 40/ 10 410 PAYMENT id j. D 9O. 3 3 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS E P.C. 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 SUFFlCIENTR THE ABOVE ORDER. SHIP REPAID. /RI RIATION C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. 1 /�1I a THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE �/1+`f/tl (206C AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 27 3 30 c OFFFICFIC E COPY