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® Carmel•I}'Orn (� CERTIFICATE NO.003120155 002 0 ( R"
C(Saar 111114�LLa PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT n; Jr��
35-60000972 i7('/
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER. DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE. I
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION
taigi 1)3 100-rime
SHIP Ck M[L �I �/u� EVIZTNENr
VENDOR do-Li or 11VVV A L TO
01 Vic. 'Vt A-/ _
LA12-HH EL, Al ti/W19_
BENFIRNATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY YI UNIT OFME SUREI DESCRIPTION I UNIT PRICE I ETENSION
EN C' U M ER_ 1751zL^o. -1 R` N At �F'211 5�¢�gnl CSC
/(;) �0Iig NAL50, fo LALi_.r� frELTIME .
0\. <4....................74.". -- %
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j* Ec3l IA!•/ Se A : 1
tit... lie ....:Send Invoice To: e zmp_L rim �„, J !/��"
A OAiC,oLIML-e.
epLNEL, I Q
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT j� ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT a
hRMFL k I Vrs&1ME PAYMENT / l7;, OW
•� lll...l7-- • 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 CERTIFYTHAT THERE IS AN UNOBLIGATE BA_LAN EIN
TNI-APRROPR D SUFFICIENT TO PAY FORT 4 1 ORDER. ,
•SHIP REPAID. i
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1 i I�/�_� Li. }`)'.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL I�Im�pp//����1�� IA,
SHIPPING LABELS. ��St1/LG �' !1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AM)SUPPLEMENT THERETO. , - I
_ 2 4 5 5 5 CLERK-TREASURER - J -
DOCUMENT CONTROL NO. VENDOR COPY