HomeMy WebLinkAbout31547 Carmel Utilities City- o f Carmel CERTIFICATE ENO. 03120X 5M 0020 PAGE
Carmel PURCHASE ORDER NUMBER
FEDERAL 35-60000972 EXCISE TAX EXEMPT 3/ 597
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA46032-2584 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 CA r In e I U f III ie 5 SHIP c R c
,0 W. MA,h 5f. TO 3o Olio 5J , Su4r 220
l nrthrl „Ill 46032 7&rrc! 1 T,H 41032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I (Ai 'limn I ( (UAW frn,PA+ -E0P S29 53/4 "0
o'-riia 5htie dui/dou+
0
q!
# v
U /
a i
Send Invoice To a.i - -
j
3o w A h S'1.1 5U frr 22 o
(trme\, IN I-4• 1)032 ,-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ( �ACCgO(UNT PROJECT PROJECT ACCOUNT AMOUNT
902— I60,19 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 APPROPRIATIO UFFICIENT TO PAY FOR THE ABOVE ORDER.
•C 0.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. / 41--e-"-"�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31547 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE