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i f C sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Carmel FEDERAL EXCISE TAX EXEMPT 3 (3Z.5
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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 nl+ / Vi K C
z 19 En9�rmerin9 SHIP C
�IU5 yJ . 9�1 h TO 30 W. /Vlnin 5f., fume 226
(tor Aid , I_ /!/ If 603Z ( irc1ITN' Lfb032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I 4e5-1 X1)9 (iild in Sfo& C4WO I 0f 475 000,"
oc ,-'-A -!--......-1,-4,,,Ths
(JA 1
4 . .,
I
Q.4
'4%.,.
Send Invoice To: L� j-�`-� b"_�� ¢
'')U W. Moir, 5i- , , 5y1 22_(}
(Berme\ T iv IA(aC32
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
902- 414 /6 0807 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
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•GO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J\/.,", �V 01 r (30/1147142.--
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ��+�C�(/�YI
-�
SHIPPING LABELS. ��'
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE r!`-f: I I )"�kr-C
' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31325 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE