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O A_ o Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
11n11���/Yy lll- CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER•
1 FEDERAL EXCISE TAX EXEMPT 31588•1 _ 35-60000972 •
1 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
Grey House Publishing SHIP City of Carmel
VENDOR 4919 Route 22 To Dept. of Community Relations &'
P.• 0. box 56 Economic Development
Amenia, NY 12501-0056 One Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
Invoice #882493
Comparative Guide to American Suburbs $151 .50
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Send Invoice To: ' + 11- ° M f `=! /(�
1203/4359300 $151.50
•
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 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
ORDERED BY '�'�{�,�/'/+/(/��l ///��� ��� In/ '1I /�� /y�''
SHIPPING LABELS. .THIS COMPLIANCE WITH CHAPTER ACTS TITLE lA
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER I
DOCUMENT CONTROL NO. 31588 OFFICE COPY -