HomeMy WebLinkAbout25276 Independent Concrete Piping City o,11r Carmel INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT /Z-C2.7(O
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
C / 2cI(
TV\t\Cke\tc\0.'&4r COACre \-C, 1)i .ur Co hce1- beikiN({1( JRY� -
VENDOR 2oSo i. F1/4-0.✓d;in S\.re.e-k— TOIP ,c1oo V . (,\ St S\Yee#
-sOd9As. , 1 At°22\ Wesc-Cmeld. , 91col1
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT '
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
:•:
AV '
* �
p .. � Nt�
Send Invoice To b- }. oe E h wNoYi
At. ‘4,2*,e_ �., t S jfff I �ZS d�
1 C V;c, Sb'A_°Ye
C�J , r 4k,0�7 2 200 q�1n2; 00.
1.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
. 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. ,
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL/ ORDERED BY /n�
SHIPPING OER ISSUED L 0 \' // 0/ /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE mil'-.-\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25276 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY .