HomeMy WebLinkAbout25874 JDH Contracting City or Il rni r ei CERT E 3
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�s� �a �1/ u. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 c S t 7
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER. DELIVERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR o 9 Q 4 V itntr £2r. SHIP
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CONFIRMATION BLANKET CONTRACT ti PAYMENT TERMS FREIGHT
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5 's 1 S54"
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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h r 55 /rh at.„ ✓/,CP� l� 7
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Send Invoice To: cj UV
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
e -7 IM PAYMENT
s� J A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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 APPR• RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.0.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 e TIT
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
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CLERK TREASURER' a
DOCUMENT CONTROL NO. 25874 OFFICE COPY