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HomeMy WebLinkAbout27134 American Structurepoint Inc. INDIANA RETAIL TAX EXEMPT PAGE • 1 City ®i Carmel armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER t FEDERAL EXCISE TAX EXEMPT 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 _ Ar i i/1 /E`/1/ • f SHIP rife VENDOR A {,�er; (�o) �4ruid are poin?� 1 t")r, n a .n ti Irr TO lI) W . tif%I ) /�/`: >UI t e 1 2 b 72 60 5/)4144d C/11-1,01 T „d;�tii No�i<, I /'✓ �2 S6 left /)'t`./ 1 // 11(03 2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE � DESCRIPTION UNIT PRICE EXTENSION 11 ` 11 r ifIF,,I / /t hy1AK'c 9 , _ D ()AI) 1 . 1 1. 7 , „#(„0 0 0 tr ,(1,67,,,,,' , , -- . •. I "Fr NON ‘‘I : ° . \ ?re ad COA '41'41111111111k � y�J �' . Q Or) i 1' ` + ''..1440,s/:/ . ';:?%.© Rif irPt,,C) ( ,, Send Invoice To ( R, 10 w / aim) l 1P c' -I- 2 2 0' i (Ay iir P'17 Z Al 11 (0 32, 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION`SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. �`� C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL I SHIPPING LABELS. C •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1 1 t'r(,i Lill 'I)/t,--/-11i- AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -,,,,,,,t,,,,•+„ q CLERK-TREASURER DOCUMENT CONTROL NO. i A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE