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26602 Bluegrass Farms of Indiana
f� INDIANA RETAIL TAX EXEMPT PAGE �� �r Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT )d P l/ h 9 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..'I Fl :_, PPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION -3 I 1 • ,3 &AE /,SS ,09?rn5 or Std, vtn1t bi42E/0/ 1Z22 a sty 00.- CIKeht VENDOR 1 i 6 W• 68f CL S I egE 7— SHIP / \oCS fir)0k�0 S an i T-10 TO ewe_het✓,CG gt!1 0-r-L. ��'��� Cq1m fi TN 4 �• CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION c1- - c lE Ailcht9,Z)2-5: /0or 70 eozot 41. t. mac.., .©/ot 7L- --- , ,A 1/D, d o- z ,S Y . 0 ' / %..' .111111‘ * !C): (C)) 014 -4 :, * ', et-3 /P ■ ' tl, It' :-� Li., q Locs 1 19 D--Sf\XI" .** 4/ •° ° . 1 0, 1., or- cry �e t_,.-, fir °©© Send Invoice To: e6C-S ,,W- \- 'a . tT � Elead- - 4TA) LiM i- S iii/ ii-c- ���� Cige.rnc, Ti),%. Lko3 ._ 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 HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIF'9THATTHERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. :`..•REPAID. ,, tir 2 '.D.SHIPMENTS CANNOT BE ACCEPTED. � •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY sCC_��! A SHIPPING LABELS. j„• �./ jive. ...„-1 •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '6 6 0 2 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE