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INDIANA RENO. TAX EXEMPT 155 00 PAGE
lnl 1111" CERTIFICATE NO. TAX 155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31590
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
12/17/2013
Hobby Lobby City of Carmel
VENDOR P. 0. Box 960070 - SHIP One Civic Square ••
Oklahoma City, OK 73496 TO Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1
,
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Frame for Rangeline Pioneer Award $30 .49
Receipt dated 11/7/13
iv. -.e.
: a AA lin "4 *
I-_ 101
•
Send Invoice To: '+!� M ',
1160/4355100 $30 .49
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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,S(1FFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. y�/9
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. [�"'.� 1
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ....._
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31590 OFFICE COPY i `II