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11 � of C acme CERTIFICATES NO.005120165 002 0 PURCHASE ORDER NUMBER
11 111LLL U./ r JJJIII FEDERAL EXCISE TAX EXEMPT
35-6 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP
CARMEL,INDIANA 46032-2584 VOUCHER. DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
p• ., '4 PROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
RCRASE ORDER DATC'.� DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION
•
A,rlYT ;T.., Ia4 A,. a., 1 C C
3 SHIP
VENDOR 1160 7 ti 4 ole l a,-.6,•{. 7 Lp on TO 3(.> L./..)e l 4 ,t4 ga" ..N.4
;F polr, 1 I jj (46 zs& CC ....T.e. 1 , r iJ LlCoos2.
oNfHMAt EN BLANKET CONTRACT 1 -�� PAYMENT TERMS FREIGHT
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QUANTITY I DTMT OF Mf.ASUHL:.I DESCRIPTION I UNIT PRICE EXTENSION
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I M ! 1 i� '7 fr .,,
4, n e
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Send Invoice To: C Re -'S,.e , .,-,.. „. ' , f , i
CA r.v,Q, I 3"A) q 6'03z
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
18 u1/ if)/10171&O EAMIENT
• AP 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 AFF1 DAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THATTUERE IS AN GNOauaATED BALANCE IN
k. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
"'� .
- EPAID.
•C.0.11 SHIPMENTS CANNOT BE ACCEPTED:• ORDERED BY __.—..
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE - -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
CLERK-TREASURER _ ,.....�
DOCUMENT CONTROL NO. 31333 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE