HomeMy WebLinkAbout25715 In Range SuppliesCi
I.
l
of C
armel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
PAYMENT TERMS
FREIGHT
In Ramo &IUppllos
VENDOR
5121 Vkfinnotha Avonuo North
SHIP
TO
Cam! P&Ico Dopanniont
3 Civic Swam
Cool, IN 46032
NoTt Hope INJf4 55423
3171 X671 M
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00-520.23
1 Each shipping charges
12 Each Dura$Ioc
Send Invoice To:
•aimil PoIIcG Doprmont
Attn: "ron3 a Anderson
3 Citric !quarto
Coral, IN
RB1000
PLEASE INVOICE IN DUPLICATE
$188.50
$03.00
StAb Total:
$188.50
$730.00
$044.60
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
wrmeI Police Dept.
• SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25715
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
$944.50 •
• 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.
• I HEREBY CERTIFY THAN THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI � �SUFF PAY FOR THE ABOVE ORDER.