HomeMy WebLinkAbout26820 Blue Dorian Jazz INDIANA RETAIL TAX EXEMPT 'PAGE
C1 Of C arMe1 _ , CERTIFICATE NO.0031201550020
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 69 S( Zo
' .35-60000972 v
ONE CIVIC SQUARE X f i a THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 .• 1; '4 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 ci1
51(10113
'FA VC DOVItatn Jan- C.I+1 bF Car MIA
VENDOR 10121 &later UJa-L4' . SHIP Corviraun i ce.LatlOYIJ -De e4-.
F'3 Lt'S , 3N r_1 io o3$ TO One Doe. Scrc--
C tr m_e if �N) E(1v032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT '
f.
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
§eve Devitt.. Ictrz ?er4.vmavlu. at Jazz all -11e Mon on - 7 27/13 4000 Ob
la
K �� '
i ' i`� `
Send Invoice To. ,,,�(-J1- °`�_• 0w
120 /1-135-q003 $ toOb °b .
•
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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. - I L
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.` ORDERED BY ^ ej al�^fin
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE P;- ,p` `i , ✓'„ 12.4) ic✓' 1
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .Y .
DOCUMENT CONTROL NO, 26820 CLERK-TREASUPYR
OFFICE COPY