HomeMy WebLinkAbout31328 Environmental Services C i III \u o Carmel arme1 CERTIFICATE ENO. 03120X 5M 002 0 PAGE
�M y �a �/ Oi PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT / />2 Si
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 I REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR nvtronl11PnIa ( 5(tVj( / 550/It' ', LC ( SHIP (T)(
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION j / UNIT PRICE EXTENSION
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Send Invoice To: ( f� ( c. .,,....'
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
:J02 Ln0 1 (99 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 HEREBV CERTIFY THAT THERE IS AI UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. (//^/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED f. ORDERED BY /r. ` k
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•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ///���.,, - t
i rr SHIPPING LABELS. in
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE F S in:). hi
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 313 28 CLERK-TREASURER
A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE