HomeMy WebLinkAbout24497 Countryside Stone Cityi Carmel — CERTTIFICATE NO.0031201(55 020 PAGE \ o � \
was a- y n Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24497
35-60000972
ONE CIVIC SQUARE This NUMBER MUST APPEAR ON INVOICES,ATP
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
10/1612013 --'- t,' C. . may
I
Countryside Stone, Inc. Cannel Fire Department
VENDOR SHIP 2 Civic Square
TO
3535 N. CR 800 E • Carmel, IN 46032
Parker City, IN 47368 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIjOF MEA URE , DESCRIPTION UNIT PRICE EXTENSION
Account 43-504.00,
1 Each Paver Project- Sta.44 $3,933.55 $3,933.55
• Sub Total: $3,933.55
0 Of C•44. .451",
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Send Invoice To: "f��O �-Jr.r. f
Cannel Fire Department JJ J
2 Civic Square
-
. Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE .
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
•
Cannel Fire Department PAYMENT $3.933.55
• 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•CO D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �N-���a.!_✓
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. - `�_ /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V—tom v \ \\ ✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 4 9 7 CLERK-TREASURER
I DOCUMENT CONTROL NO. - - OFFICE COPY
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