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INDIANA RETAIL TAX EXEMPT PT 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 4/n 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
41/1 ///Y)S1n4 ill 1142
VENDOR )UlI C- (0 f LLt� lll 111 TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
i 1� O 1 CC O „0 40
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT
COUNT PROJECT PROJECT ACCOUNT AMOUNT
1 01 L-3 -vga /l /�lrnl l �G 7s PAYMENT A/P VOUCHER CANNOT APPROVED FOR PAYMENT UNLESS THE P.O
NU
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLI GATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I
PURCHASE ORDER NUMBER MUST APPEAR ON ALL 1
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26038 CLERK- TREASURER
OFFICE COPY I 1 1
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