HomeMy WebLinkAbout31340 Burrell Appraisal Service City of f Carmel. INDIANA RETAIL TAX EXEMPT PAGE
Ili./1n1 I. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 9/34/C
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 PM rciI A/ b tdi ifiil 5e r wo , _tor SHIP ( R ( 1
2O W''ni le `/ Ur. >�ii�P TO 30 W Nhln 5f1 J` Al1ie 22 0
TnJ dn4Pf,
oT4/ 4-6240—)7 2 tlir Mel T/1/ 40 32
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4
fi
11
: L
0
Send Invoice To: ( K { O
1 A
PIAUI /I, cthle Lc
r i ,k., 1. 1 I /j gla.7''
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
I()Z `/�U;J� 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
• THIS APPRO RIATION SUFFICIENT TO PAY-FOR THE ABOVE ORDER.
• SHIP REPAID. c
• C .D.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 t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THEgRETO.
DOCUMENT CONTROL NO. 313 4 0 CLERK-TREASURER-SIGN AN
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE