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Ci l CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER'
FEDERAL 35-60000972 EXEMPT 7 33-,/
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 DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1
SIG ert
VENDOR lag -1 r SHIP
A. ���pp TO
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE, DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE 11 1 1510 -QL.
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
4,26,5 -0c:)-:r PAYMENT
h
7 ASP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PRO ER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THA HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION U7CIENLTO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.D.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING U
ORDER
THIS ORDER R ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 273 54 OFFICE COPY