HomeMy WebLinkAbout27351 Central Indiana Hardware INDIANA RETAIL TAX EXEMPT PAGE
%14 \u 'of �a
O/ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
y FEDERAL EXCISE TAX EXEMPT q
35- 60000972 OP
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, 'VP
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. i VENDOR NO. DESCRIPTION
VENDOR 9/ 90 Ce77/104-4/4 11JLCi.V4, SHIP
TO
o pcopa 1), —1— ,u L /60,75
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
/Re-1 I 4 c/ 73 'f2¼.
b we
c�.Nia
Ha
Send Invoice To: J 1 r a
07te Qa, c c 44
Ca -1- /6032
ici PLEASE INVOICE IN DUPLICATE i o7 7/4, 38'
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
l 3S, PAYMENT
AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
9 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 ISANUNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPRO IAT1➢N.SUFFICIENT TO PAY FOR THE ABOVE ORDER.
v
C.O. D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
q
OFFICECOPY,'