HomeMy WebLinkAbout31550 Carmel Utilities C0 AJ ���'�y INDIANA RETAIL TAX EXEMPT PAGE
y y
l of Carmel arms l - CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\�/' w w FEDERAL EXCISE TAX EXEMPT 31550
ONE CIVIC SQUARE THIS NUMBER M UST APPEAR ON INVOICES,A/P
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 (WmeI U-f)id re< SHIP 111
30 k/tint n 5i, TO 3O V 441h $1,, 5u)IP 22d
(Armel: TN L-{-6032 (Kane), I A/ LI4d3Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
if rein)bur5r menjt cor (R / 51A1P I I 2g 0
a-f ,\IAve(1 /IYAnvll9 Ana (t'il (kr,es
o .
I I (?) n ki
a
c
�' GI ,
Send Invoice To: (R( .--€C or-as,
1 30 W 11A) n `r) ,15tiJe 223 mil -
(Armnt, r714b03Z
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT - AMOUNT
1801 4350106 PAYMENT
• AP 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 APPROPRI• ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. •'''.
• C.O.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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ^` _�
DOCUMENT CONTROL NO. 3155 50 CLERPS
A.P.V. COPY Y--SIGN SIGN AND RETURN TO CLERK'S OFFICE