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CERTIFICATE NOO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL 35-60000972 1 EXEMPT ZS3g
I 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
VI 01 COOS 001
VENDOR q SHIP
1� N. S V h v%v e_ TO �eRk °g- E V^1�L os
T 00 c t3N 4L0
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
t p \I-E -k \l t D
S 'Need L+_. .T a_
Send Invoice To: O J�
fi�►1/lrlfl O
22oI,- SDO•BD` QC c oO'
2 2co 2000 31 k 22
2U; -So3 4 2 Q p'7 g”
I PLEASE INVOICE IN DUPLICATE
`t DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PAR OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE P6PER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TJIAT THERE IS AN UNOBLIGATE• BALANCE IN
THIS APPROPRIA31 OF _h ENT TO PAY FOR TH' ABOVE ORDER.
SHIP REPAID.
J 1
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY if
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CL ERK TREASURER
DOCUMENT CONTROL NO. Z 5 H 3 OFFICE COPY