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31386 Parkside Animal Hospital
C O� o �a e l INDIANA RETAIL TAX EXEMPT PAGE JJnll SS.. of CERTIFICATE NO.003120755 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 31388 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 12/512013 , Parkside Animal Hospital , Carmel Police Department VENDOR SHIP 3Civic Square TO 12982 Publishers Drive Carmel, IN 46032 Fishers, IN 46038 317)571.2574 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-5 578.00 I Each dog food $992.03 $992.03 Sub Total: $992.03 .,c_9(!;r1... kit * s' iii • C , -''' ” Send Invoice To: - +f- Y0,0 WI ©1 • Cannel Police.Department . Attn: Pat Young 3 Civic Square Cannel, IN 48032- • PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT ,• PROJECT PROJECT ACCOUNT AMOUNT PAYMENT Cannel Police Dept. ta $992.03 • 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 THA RE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIO ICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY -of •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. iv " l DOCUMENT CONTROL NO`. 313'8'6 -�7 CLERK-TREASURER l OFFICE COPY i