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HomeMy WebLinkAbout26572 VS Engineers 0 INDIANA RETAIL TAX EXEMPT PAGE City o f C°�ISJS rme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 219S -.2._ 35-60000972 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 311 V% \N_JI-rS SHIP e ±cp O� YEAS Oc CE 'I` QQY VENDOR ` �O \ 0,1/30•A. Cvee v G1v61 TO --:*. Y\10, 1lCL., 11l <I\AZS CONFIRMATION BLANKET CONTRACT - PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION I C -ate. off ' * A . 0 , •\.•,per "'► \ /� 1 A,n t �}f- 4 ,p,,%..1•�� V C • tt w lJl e Y�/ f l� , i i 4, (V,Voo 4' \rt . 1111111111 . ® + r,- ..,, ` •`©Q t 17S. coon Send Invoice To: I '' 1 1 0 211- 3,4c0 2-o0 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 CERTW THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPR A ON DEFICIENT TO PAYVR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY - SHIPPING LABELS. I r " •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - CL DOCUMENT CONTROL NO. 26572 CLERK-TREASURER ■ OFFICE COPY