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29668 Belmont Graphics LLC
City o Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEI. - 1497 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO, 003120155 002 0 L FEDERAL EXCISE TAX EXEMPT 35.60000972 PAGE PURCHASE ORDER NUMBER 29668 THIS NUMBER MUST APPEAR CN Il VOICES. 4i VOUCHER, DELIVEAI' IABMO, PACIING SLIPS. SHIRRING LA ©ELF ANDATV CCRRESFONDEN' E. PURCHASE OHDEH DATE DATE REQUIRED REQJ {SITION NO VENDOR NC DESCRIPTION 4/25/13 IA0000232 Picnic Grove Dedication Sign VENDOR Belmon Graphics L.LG G529 West Sook , Port- i cu ci , W 4`I 3-7 I SHIP TO Marketing RE `T,- APR 2 5 2013 BY • CApelaaepcF FV,KAE1' GO "TRACT PAYIA,E6'TTERMs FREIGHT al I AIJTITY J UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENaiON 1 EA Picnic Grove Dedication Signage for Francis Brockman $926.00 Send Invoice To: PLEASE INVOICE IN DUPLICATE $926.00 $926.00 DEPARTMENT ACCOUNT 653- 5023990 -Other Expenses SHIPPING INSTRUCTIONS • SHIP REPAID. • C.O.D. SHIPMENTS CANNOT RE ACCEPTED, • PURCHASE ORDER IJ0k1BEH MUSE APPEAH CN ALL SHIPPING LABELS. • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER ^9, ACTS B 5 AND ACTS AMENDATORY THEREOF AND SUPPIFMEN1 THEEREiO, 29668 DOCUMENT CONTROL NO. PROJECT I PROJECT ACCOUNT PAYMENT • NP VOUCHER CANNOT Fs ARPROL010 FOR PAYMENT UNLESS THE RD. NUMBER IS MADE A PAR 1 OF 111E 1'J UCHER ANNE VERY INVOICE AND VOCCHEH HAS 'THE PHOFER SOOR AFFIDAVIT ATTACIic[_ • I HP RERY crsTIFV THAT THEME IS iN UNG9!!GATED P.AIAN;;E IN THIS APPHOPRIATtON SUFFICIENT IC PAY FOR 1 HE ABOVE ORDER. AMOUNT ORDERED BY TITLE CLERK - TREASURER vm noR COPY Lindsay Labas - DK