HomeMy WebLinkAbout20018 IBSCi
of Car el
ONE CIVIC SQUARE
CARMEL, INDIANA46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, AD
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
3'71- 13
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VENDOR
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CONTAMRON
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
)C
Pei- 30
OUANTITY UNIT OF MEASURE
DESCRIPTION ,,
UNIT PRICE
EXTENSION
Send Invoice To:
5ro &r5h•At 6,c.
/34)0 3/ootsd.,1.:
natal -e 7-4 .410033
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PLEASE INVOICE IN DUPLICATE
t 137
- yDEPARTMENT
/dam 7
ACCOUNT
PROJECT
1 PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.OD. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORYTHEREOF AND SUPPLEMENT THERETO.
20018
DOCUMENT CONTROL NO..
PAYMENT
• MVP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
' NUMBER IS MADE A PART OE THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE //GcROPER SWORN AFFIDAVIT ATTACHED.
• 1 HEREBY CERTI 'THAT THERE 15 AN UNCBLIGATED BALANCE IN
THIS APPROPP ON SUFFICIENT TO PAY FOR THEAHOVE ORDEP.
ORDERED BY r
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TITLE
CLERK - TREASURER
OFFICE COPY