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25277 Christoper Burke Engineering
CityQ,,,�,, Carmel INDIANA RETAIL TAX EXEMPT PAGE 1\ .� ' \�/;` of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER `°' // y y FEDERAL EXCISE TAX EXEMPT 2S2 3R- ONE 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 Li \2 V3 C\Nv,Sk-t)cticLJ . C> rke 6A Ate v: n VENDOR SHIP `''` �' OF EV7SI A.9-ill;`AS 11 S W. VVIQS� ✓Cbn se. s4-e, 136 g S TO 3 cLL/le..?O U 5• D-1 1 Co-2-04 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION lgSA\ ' # 2 Co f k.. c/ts-( 'S Coy © CC\WI,k iP ' a * as{ . a ��rr 4 gir Send Invoice To: �Q U� O • f 25, i-sto0 2o2 -101 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 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 UNOBLIGATED BALANCE IN THIS APPROPRIATION.SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. - •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 0 •PURCHASE ORDER NUMBER MUST APPEAR ON ALL / SHIPPING LABELS. 4 � _a , •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ��( / ""^� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 5 2 7 7 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY u. .Fs