HomeMy WebLinkAbout27125 Andrews Construction Co. City ®� Carmel INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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S Co o/IS .fC3C1'7Q," CG, �� t
�A SHIP I,f r
VENDOR "7o !"IA r G u i s LG Pr � 'TO
'30 (.t�pi4 M{�`/1/(0-1 S ,e e.f-
1 S—1'L. 4 �/
.,dtG, c. pc, I4s , I-A.) c4626::0 Cc-,,1F +. A.) u6,037
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
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44 f'''
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Send Invoice To: C R. �. s_ ,,,,
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5 ; 2"70
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 THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. k •`�""'
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. {`�/�/ �"
1 •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 0,945 TITLE v)(e c i- I v e- 1-A c c_. -c, r-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 27125 A.P,V. COPY-SIGN AND RETURN TO CLERK'S OFFICE