HomeMy WebLinkAbout25274 R.A. Smith National City of Carmel INDIANA RETAIL TAX EXEMPT PAGE
of I,�1/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT Zcz 7-q
35-60000972
�C 1
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
S ZI ItS I
1 jZ.Pc. S v"A;t\/l NC\V\OA O II
VENDOR 100 WeSk- L0.torevtce. Sk. •STE A\-2 SHIP " M-V7'r cc EV1s As.. -idis
PV<<e ktn , W\ sqq U - S-7-S9 TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
'QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
CO\*ci-C. 't cbk&
1 ' T <47' , VW TvI SocC F1 c (1 So Pi‘,, .,rL.
dj 1 s t A_: `` e S
kat
�_ ^n t, 1
Send Invoice To: i.-0..a.
'�1.,. jj�°� �fJ(�IJt� \vim
j 4 3±So�
o ,
2E\ - 9`kLo2S$"
• PLEASE INVOICE IN DUPLICATE •
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
•
PAYMENT
• A/P 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 CERTIF,V)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 /A AI/ /�ljW�. .`,K.. Q7/fl��«�K�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �" �
SHIPPING LABELS.
/ /\ , / // _A /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -�1''VJ'� ��f'-A-A----
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25274 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
•