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HomeMy WebLinkAbout26485 Frost Todd B rown INDIANA RETAIL TAX EXEMPT PAGE ltY ®� Carmel CERTIFICATE NO.003120155 002.0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT /) �� 35-60000972 (0`( 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 1''.°5 k-r-D1— �, Ivry . �L,6-L,6v1 SHIP �t VENDOR �: CN✓`�� TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION G di3 i 40-i 1--)t) =i � r . io ,.,-,k ©,--..".:9,A �. k i W66) .•, a ,q1 .4 *,, .1 ,, IS I ° ° � P ''1°'7 1 4•6 41bli, .< '-''''(6 k"s•.© � f Send Invoice To: I lib( 43)qabb 4,i, uo\u_.., eit,,Sr PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 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 APPrPRI TION SUFFI IENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ,1' •PURCHASE ORDER NUMBER MUST APPEAR ON ALL v SHIPPING LABELS. �.�]� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .'� (/�-� - AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v J CLERK-TREASURER DOCUMENT CONTROL NO. 26485 OFFICE COPY