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1\ ,ity c f Carmel l CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
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35-60000972 O'"�
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
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VENDOR 03 COS VENS\1VV,.OQUSS■ � , SIGN SHIP ,,��t'. Or E '\�9-� �✓I�
TO
110601 S. 1r‘N. 1to21O .
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE[ DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: • f�O m {.� ��� 3 CO , ?DID • �°
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT • ` - _
• AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS-THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE ANDS
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. •
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. r I
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
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•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /j
SHIPPING LABELS. /z, /J-
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / �7•L"-......„
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 28
9 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY