HomeMy WebLinkAbout31345 Andrews Construction City of Carmel IRTIFICARETAIL TAX 015500 PAGE
Inl S. lllr I'�/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT / l/e2� C
35-60000972 l J
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
VENDOR A dr 0 fv 5 (oh 51 t t4( I i1/1 (O. SHIP ( 1 (
7508 Mpr9vls Lt■n TO 5UW (bin 5-I. vI oil e22O
11
I idTd ib (o)0■i5 / N LI61G0
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
I r (tip v
t in or ( (1, 2712 l �11r 9 `;7 I Cu
X )77GG ,
..J 1 i t i . -i , ir, ,/ i [,AC-/ /OP *�MP {D
r;1,l11 e 'Jr(It(c -
pi
i :w ,th: A:
o
Send Invoice To f ,�� /...- _ r v
lU k/ / ill t.� >41-1 ' 220 Cf
(aYt11rl
IA/ '4 �1,32 ' ; rn
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
-1!)2 446007 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 ISAN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. I,ry/1'I 1 �/�/�/�f �,414114C0----\
•QD.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ° "el (l/iV'�/K' I (//x/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �V� „1..
SHIPPING LABELS. �
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ALE.c (') t L_J"t)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I CLERK-TREASURER
II DOCUMENT CONTROL NO. 31345 R.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE