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Y., c f l\ sane I' CERTIFICATE NO. 003120155 002 0
Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 ��ff���J!!�
ONE CIVIC SQUARE THIS NUMBER MUST APPBpR'0N 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
12H 011
Morphey Construction i sHIP Street Department
VENDOR
TO 3400 W. 131st Street
North Sherman Dri ve Carmel, IN L� 4 6074
CONFIRMATION BLANKET Col��ttcH Solis, IN 4b201 ppyMENT TERMS l 4 -Fq�
GH
Steve h orphey
OUANTITV UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 0043 500.80
2 Each streetlight $9,100.00 $18,200.00
Sub Total:: $18,200.O(
0 0 GP zt-,1)* -*LP.--
Ahmt COQ. b II LS x ai awl
:at i Os
I)131 4 k n h
0.). Q� a a ?ye rtQL :.v,,' 0
Send Invoice To: J O
rl11
Street Department
3400 W. 131st Street
Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE'
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
Carmel Street Department NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.o.$18,200.00
p NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TF PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI THAT THEER I5 AN UNOBLIGATED BALANCE IN
THIS APPROPR t )!FGIENT TO PAY
FFOOI j'FHE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. '1
PUR
CHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. j.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE /J A
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26 2 cC CLERK TREASURER J 4 OFFICE COPY