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31331 Plews Shadley Racher & Braun
C 0 � ®f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE l\O./.J111 1111 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3 1331 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 REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR I /1 I; 5 )Ji I `1/ lln(he r t, IJC4IIl1 , LLh SHIP 07( 1i'JO N. OI1-1,,,Irt 5I. TO 'u h 4i ),./ Sll/f� 22o 1 ndifitmf oh I 73/ µ(202 - 2-`11 (n/ n;r ! 14/ Y6C3 2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION sirvt(r % fur l'il/( SIC dOd 1)0 Ij * 7.� i"o ©1 7 Send Invoice To: C 1"( M ,f -.� ��� f(j�. 3Q W l A,„ )-. , 5,411 F 2 2 0 (4rinrI, I/1/ WO032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 902 I-134 j000 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 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1905 TITLE r C.C. PL ,3L-1,r4= AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31331 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE