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City c a Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �7 cg07
\ 35-60000972 C� -
\\ 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
VENDOR l�'�'c SVoc,a nSl ✓>,,(�✓i /I�
TO HIP - „ � cQ L Q. v'lJ!.%L I ✓7\n\
,C n ✓ V
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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•. , VICES
Send Invoice To:
.... 42)00. 0a
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PLEASE INVOICE IN DUPLICATE
'-. DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 CERTIFY/THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT O(V 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 I
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
4 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT;THERETO
25 3 0 9 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY ` '
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