HomeMy WebLinkAbout31583 Carmel City Center C1W of Carmen INDIANA RETAIL TAX 015500 PAGE
C of Carmel CERTIFICATE NO.003120155-002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 315 S 3
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
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ri `4.0 3rd W TO 1 Gv;L (6uavt
• e rvu"( , IA 1Itio32 . Q&'/vi I, -i--Ni LI Le032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: tI " d''
1203 {;Sq4354003 i_
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$R 300 . 60
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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
THIS APPROPRIATION S FICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.. //A�A,�i^
•C O D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY �"-/ /l1
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL //A.SHIPPING OER ISSUED biV• A /1 �f f. 7. �
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lVN7 .�P,•P�/�'^-,�-��(/t'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31583 OFFICE COPY I