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Cif. of Carmel_armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�a FEDERAL EXCISE TAX EXEMPT ZZ
3
6
5-60000972 J�J 2
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
17E1 II FAl L J` +l�1( ie/�VI( � LL ( SHIP �v jY AIM /•/ l(l/ lC 210
//70 /y Prl nM//VaPl/ 51) ,5q,le 200
(4rr el,I/1/ gam (ar,n,/, raj/ q (O3z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION ,y UNIT PRICE EXTENSION
MOM/W1h/, if( r/fe,i for i '30,000 ,,L,
711Apit0J 6409
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05. E • ...
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Send Invoice To: ( 17 ( - 0 UU se
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3ow �Lli1151 , suII� 2 _ -
(Ar nit!) T /i L/ 03)
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1301 Li 350406 PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 U,NOBLIGATED BALANCE IN
THIS AP PROP IATION SUFFICIEN TO AY FOR THE ABOVE ORDER.
• SHIP REPAID. // 1 f O�fj/j�J,-J{]_ A
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1/I // O.(C//4 I�1 [ �i'
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL - .,r I // v . V .
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE JFc 1 I ...A,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 313 26 CLERK-TREASURER
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE