HomeMy WebLinkAbout26598 APP-Order LLC C0 INDIANA RETAIL TAX EXEMPT PAGE
ity of CIrmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT (f' rj
5 91'
35-60000972
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.
Ft t '•PPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 44?,,.`“"
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR /d 94 j- S41-/ 4 /ti"e-• SHIP Yv 5
1111 TO C / 7Ly O f (-14 2/77 '.C.-
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: tt(
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4Gp0.3.0) PLEASE INVOICE IN DUPLICATE
DEPARTMENT - ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER.L■S THE PROPER SWORN AODAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY10ERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
REPAID. THIS APPROPRIATION-SUFFICIENT TO PAY FOR THE ABOVE ORDER.• .O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / '' 1 7• / '. C'��"
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL / F
SHIPPING LABELS. /J / J+ ,���/ ,/ f.`�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f./7/'�71.--a-Vl..(.' .-;>!l�/ j/!/"l.•
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE •