HomeMy WebLinkAbout25294 Crossroad Engineers C � f Carmel IRTIF CA RENO 031 0155 00 PAGE
1117111 1\ii\Y� \\1ti/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 S 291-
35-60000972 11
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.A
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIP
SHIPPING LABELS AND ANY CORRESPONDENC
-ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
RCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
!ENDOR 2rOSSF-cad s SHIP
To .\-- . off' Ev1finow'Is
NFIRMA➢ON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
r
VI
T
04
iks..._ -. 4 u. Co rkYc o�A T N.- chi ovt
'' : . T'
to t8 RS' «+• '-
4..•e •.. \0
N •••...... •••® , NT
Send Invoice To: ��
q Coil 9 coo °D
2t2-- cog
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
• SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.O.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 9 4 CLERK-TREASURER
)OCUMENT CONTROL NO- VENDOR COPY