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HomeMy WebLinkAbout26363 E S R I, Inc 1I 0 INDIANA TAX Of Carmel sane l CERTIFICA E 0 31 201 002 0 PAGE w \1/ LL PURCHASE ORDER N MBER FEDERAL EXCISE TAX EXEMPT ,j J 35- 60000972 7 [A 7 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 qG E5C1 lr c_ C i lFit ee h G 5 '/630 SHIP 71 r a rt VENDOR F C/ v lG 4, 4 ce& CA 9QD?q- 7b 50 TO a t Al -4 A z CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT a QUANTITY UNIT OF MEASURE DESCRIPTION 7, UNIT PRICE YEXTENSION 1 /07,691.5A, 1 f 1 -7 /n� i it I Jar.► `-yam. ,r 2 5.02.- of ©q4 C� s 1.4 Utz• s "Ey r' I l e —Y Send Invoice To: c A p mi P OM �O ay 1 /1 PLEASE INVOICE IN DUPLICATE I. DEPARTMENT ACCOUNT "'PROJECT r 7. PROJECT ACCOUNT AMOUNT /a001- S /j QZ PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY rEaaTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROP'IATION SUFFICIENT TO PAY FOR THE Al s E. DER. SHIP REPAID. C i C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. 1 J 1 THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 E Age AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER e DOCUMENT CONTROL NO. 26363 OFFICE COPY