HomeMy WebLinkAbout31336 General Piping Cit Of Car e1 CERTIFICATE ENOI 0031201(55 020 PAGE
y la �/ 111LLL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3/J? /
35-60000972 / C�
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
6enernl Pipih91 in(. SHIP ( R (
Pd i3ox 3436-7 ', 3U VV �l�ln ��. 1 Sw"Ie 226
i heilnlloOyIs, /v 14(2,34 ( (uthe\ , T Ai LIt032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
i
I I IAti luml MIlhbfliIAI y✓Urk 3- 6, 72 7 v.1
l
0
° Q4i
111 ,A
Send Invoice To: ( K C - U\
1 .
30 w MAIN 51 , 5Uil 22b
< arn",e ‘. 11 .N qb0-)2
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
-1 ? I"Ib0A,107 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 DFrFrRTIFY THAT THERE IS ANLNOBLIGATED BALANCE IN
THI APP•OP•IATION SUFFICIEN TO PAY FOR THE ABOVE ORDER. I
•SHIP REPAID. ,
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. I e ,I'O,di/ bibill'•PURCHASE ORDER NUMBER MUST APPEAR ON ALL lir ORDERED BY I,
-.yr II ar,
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Ot I, A
I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I DOCUMENT CONTROL NO. 313 36
CLERK-TREASURER
A.P.V. COPY•SIGN AND RETURN TO CLERK'S OFFICE