HomeMy WebLinkAbout31348 E Lurie LLC City of l\�1/ l A rrae CERTIFICATE NO.0031201550020 PAGE
or 111111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 11348
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
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
VENDOR E • Lurie , LLC SHIP c R C
30 V. /101 51 , TO 30 W /96th 51. , 5 'c e 2.2 0
(Pr ne\ , XW Mb032 (Armcl , Z /V. or b 032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ?
1 14n� lorb re�A i 73, 510, ''`'
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rn
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Send invoice To ( 1k ,�r� ,[
ti A
3o Y1' Awl 5-L , SUIT ( 2.20
( rr\ek , 1N ' 6032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT PROJECT ACCOUNT AMOUNT
20 I 14352. 5 0 0 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
THI APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•GOD.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ` / /441 1,1 N
/
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL �t
SHIPPING LABELS. +I�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1/94)C " {iC 1/�
J
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q p CLERK-TREASURER
DOCUMENT CONTROL NO. 313 48 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE