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City ®f Carmel
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
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
VENDOR 'art I- -3L /y � SHIP
1/2111 V / 3 l' y If TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION . UNIT PRICE EXTENSION
WP) (e0/1€--, WD ' --
C IV v7`!V((.. Y.0 es
. 4., ....A Send Invoice To
gaol-I
VP 'PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• CHIP RSHAID. //�..
•C O.D.SHIPMENTS CANNOT BE ACCEPTED. ��Y/��
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY k-)1,1//ca ��YY��•
SHIPPING LRBESU. n� ) \\'wT"�C.Y
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C e ///'/ wnr
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v
CLERK-TREASURER
DOCUMENT CONTROL NO. 317 2 G OFFICE COPY