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HomeMy WebLinkAbout26674 Hall Render Killiam Heath & Lymen City 0 C®J,r� ����� INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER DC f/&7l; -F /4 FEDERAL EXCISE TAX EXEMPT / ( /y•�n'/� /✓ v ��� 35-60000972 C7?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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7,47//0 .- . VENDOR / ` f: 1 SHIP'' / //eit(i 0 79 g&4-e-ebaul- eee, -- TO ( A4 , -7-, . 4069- 9p _ CONFIRMATION BLANKET CONT.ACT / PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION r `'S r & G iir i Al 15P. S� e,e 1, etel,P146-t)/"2e4-/ ' '' 41-'d6°) / ..... �, ,, _ - I '. ' ,, 7Q .. • (,,,,..„:,,,A.1/4) ji% w.• * / Ab , 1 a . *. -.. 4,5-----fir- ,,, •1, s?.• \'‘',,,P1/ 1/- ;,.J ' 0°:04.- S ' ' • .• •;o Send Invoice To: d m• ' PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT lGGUJ "0 1?/.3, oo-D PAYMENT ` a2�/.s19 • nv • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. cetia, Pe-e :, NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • IJiEBESY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIA . FFICIENT TO PAY FOR THE ABOVE ORDER. •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 .1 �(/ _ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. _ ' / // 26674 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY