HomeMy WebLinkAbout26258 Service First Cleaning City ®f Carmel INDIANA RETAIL TAX EXEMPT PAGE
Il J I1 1 CERTIFIFI CATE N0.O. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 ST ICES, A/P
ONE CIVIC SQUARE VOUCHER NUMBER
DEwER1 -1§ MLT PACKIN SLIPS, S,
CARMEL, INDIANA 46032-2584
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
121201201
VENDOR Service First Cleaning SHIP Street Department
TO
Payment Processing Center 3400 W. 131st Street
10632 Grand Riviere Drive Carmel, IN 46074
CONFIRMATION BLANKET AFL 33647 PAYMENT TERMS (3 •JZ7_7n tEIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE r EXTENSION
Account 0043 506.00
1 Each cleaning $5,000.00 $5,000.0(
der Arlri. Sub Total: $5,000.0(
400 si&k 1.7......
v •.,c
.1 9.49
s. o
Send Invoice t oo
Street Department
3400 W. 131st Street
r PLEASE INVOICE IN DUPLICATE
Car IN_ 460 T
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
Carmel Street Department NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND $5
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID .4'
THIS APPROPRIATION r SU UF F FICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY II v yl R 1 I S7, y r l X r 1 (1 /I 1-1 a A I h
PURCHASE ORDER NUMBER MUST APPEAR ON ALL �J l� M
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1_ a A i C LI i. r 9
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I
26258 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY