HomeMy WebLinkAbout25297 E&B Paving City o Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
J,lr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 S Z Gl -•1_
35-60000972 1 T
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
E`Q Pos; re.3 JC a O/
VENDOR 1�-C4Z IV\66\e..tb�n Ave• ' I2ci oo J 1%1Er;d,ah SHIP oe\-D E. , Q E111 .21ri ✓S
Noblesv,lle,_E 1,oloo St 120 TO J
Cnrn0QIia 9(0032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
'\fir:y or.,,,._.r„•C� -I 0
t
• `1� 0: •••<`' S1°
• e ...,,,.,,,..-
r cS ♦ ae+r^°r^.e 'elk
fillibk
NNW •o '.t N,; - . . = .kS-
Send Invoice To: 1_y\ �1 JJJJ5 I
! j)J "g3124b.(aZ - 2ZOO - R99(oZg01
Il A Zo13 Dki ✓ois Sb ROAL txpsrio'OlI�l0 ° _
I 1 4 ,7%65 1 `391C309 .3'l0
• �Tr�
PLEASE INVOICE IN DUPLICATE E 0620- 2200 - 411/40 2-40 1
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
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 AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT ON SUFEICIENT TO PAY Fail THE ABOVE ORDER.
•SHIP REPAID. �l•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. -
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 'A ^�`
SHIPPING LABELS. / / X'R -
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ✓✓✓ 11'vvv --
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
2 5 2 9 7 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY . Y