HomeMy WebLinkAbout31347 Service First Cleaning City t of Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO,003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1/3q 7
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
SerVI(e h■ I 9f ( 66/19 IJ9 SHIP C RC
VENDOR
1)21 1k5 jroOH ebP Pr( Ve TO 50 W, pldln 5+,, 5ude 220
1V/e ley ( htpe) , FL 33 5q5 co- 01e\ , T N 1032_
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
C leaning 5e l/ice() -Co r .73 -732x° ,
'\ -Hie_ 6 R ( u-F-ctr . 5 \'Ke
00 jr_
0 -4,, a,
t
'0 $
T « A -4p .
11•
Send Invoice To: C r -
30 V Min Si., Curie 22 . ,
C■ r mel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 2 cACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1 g 0 I '�,39 o 6O0 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 AP ROPRIATION SUFFI ENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. �/��
•GO.p.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY UJ� �� 9wiA py/
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL n ly1 I
SHIPPING LABELU. P` '(.D ' y_�.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 4 7�T
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31347 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE