Loading...
HomeMy WebLinkAbout31630 Blood Hound CA INDIANA RETAIL TAX EXEMPT PAGE Y 1 of Carmel CERTIFICATE NO.003120155 002 0 y y\�/ \1/ w , PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 31630 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 11/2612013 Fiber Locating at 891 3rd Ave SW Blood Hound, Inc Carmel Communications SHIP Terry Crockett VENDOR 750 Patricks PI, Ste B v TO 3 Civic Square Brownsburg, IN 46112 Carmel, IN 46032 (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY . UNIT OF MEASURE DESCRIPTION UNIT PRICE •EXTENSION Account 43-419.55 1 Each Fiber locating $2,550.00 -$2;550708 Sub Total: , $2,550.00 OS k4. -.... .....A- 411r .7.61.7111 M. #. , 4 Ar. • veA.• ' tsr A. .'' Send Invoice To: City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT armel IS Dept.— "'a" :/2D.2-. PAYMENT At5fiCS Z2W,, is • 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 APPRf�- TION SUFFICI T TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY —se ,, • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. lire o /• •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1995 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 316 C7 30 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY