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HomeMy WebLinkAbout25335 American Structurepoint City of f Carmel INDIANA RETAIL TAX 015500 PAGE 1,1r CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP 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. /J DESCRIPTION 4rc ,/ Coll . ']MJ/erica�l 5��7-r--4-vreLm- ric. SHIP (RC_^ , n (' /VENDOR ( �,C,Q4a S`"�^� t14 A /�/'c lam/ TO . o WQT� /14 ,,/ [Sd/1tc7� C,J.,-ro Li tcr4eoIi$ I rN ` 6zcc C/`HL2f, rA) ��A.o3Z CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION • • X5 `•4 WorC el * .• c . w (i) ... • ?oa - yo9 a moo• i •9.+.• Send Invoice To: CRC © 1C �� 30 esl A-- Stinger Sv;ie ZZo G.r ( , 7--dU Q�3 Z PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT �,gg AMOUNT 90 11 / 11 940 CO / PAYMENT 070D7) • 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•TTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNO=LI •TED BALANCE IN THIS •PP•OP• TI SUFFICIENT TO PAY O•THE ABOVE ORDER. •SHIP REPAID. . •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I LA , ,i�'®i A SHIPPING ISSUED Pr RDER U. 4- •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE G s^[ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 5 3 3 5 CLERK-TREASURER DOCUMENT CONTROL NO. VENDOR COPY