HomeMy WebLinkAbout31337 Business Furniture CO , INDIANA RETAIL TAX EXEMPT I PAGE
i y of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3/ 37
�
{
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 6u;ine5$ Farm ure LLC SHIP c 111
PU Box 856%00, Dery No 121 TO /o W MOM 51., >uric 22 0
LouiSvddle , KY 1+028S - 6300 ( krnel , TN 4032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 removal And clomp° of (R( ii-1000.°a
o -F1^ i(r` turhl1Urf
-Pt,
: C �t�'
ti ::0 �l :.
: t lii. . o •
*1\14..
.-•.. ekz•ASO
Send Invoice To: C R C _ _.. .. .11. .
30 W NAH Sf. , Sul -le 221 J
( kr mel ,TN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
I 80 L435Oc) OO 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.
I HEREBY C TIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS • TMIS PPROPRIATION SUFFI TENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. /f' /1 / /.
•GOD.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / /.. ' \ f r I Xt/ ad t
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL / .-
SHIPPING LABELS. v /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE IT.;
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 1 3 3 7 A.P.V.LERK-TREASURER
DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE