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® II 1` arme� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
111111 �S/ 111111 FEDERAL EXCISE TAX EXEMPT 2S' 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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
CYO SSvoo.6 L1(10.3\Yays
VENDOR SHIP --CNeaV 0 EPS\MINI YIS
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: re- _ -at' - - -(0'
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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/HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT ON;SUFF1CIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. r
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 10:7,n-'
1
14
SHIPPING LABELS. ✓ .
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
2 5' 2 h 1 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY