HomeMy WebLinkAbout26561 United Consulting C0 INDIANA RETAIL TAX EXEMPT PAGE
ity, ,-,_of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
- FEDERAL EXCISE TAX EXEMPT I
35-60000972 2(O5to1
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
`
1A,V\kAta Coy\ k_O 1/\� SHIP c -. of EV-NS,v�eY.,V,�
VENDOR
Ni2.5 1-k- 9 TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION - UNIT PRICE EXTENSION
6
\,) OfV r4 C2-41.76) ,40,,,,
pv.... e ----4<7...4,,,,4110::\ ,
:6-1(6\1,k ,.
c 1�� (-,. ......
,_ ,
iill' ::: / 4:
iMi a Vie■rk- ' kac id
a ..
,,, .,,,,;...., v.N.51.---Fir-, ‘„ ,v.\--11_,, 06.____, . . - ,iiii
A
Send Invoice To: ., .•
�� _ 00
2j0 0-
2db- 2��- ,.► '' -7D
PLEASE INVOICE IN DUPLICATE \ - \e-� - 14\�
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
• • NP 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
S�� CLERK-TREASURER
DOCUMENT CONTROL NO. 26561 OFFICE COPY