HomeMy WebLinkAbout31582 Current Publication Q,,,, �/�•� INDIANA RETAIL TAX EXEMPT PAGE
\i t T oil Carmel arm( l CERTIFICATE NO.003120155 002 0
y y �i \L/ q..1111 PURCHASE ORDER NUMBER
1;, / FEDERAL EXCISE TAX EXEMPT 3158 2
I 35-60000972
ONE CIVIC SQUARE - THIS NUMBER MUST APPEAR ON INVOICES,MP
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
12114113
Cvvlt I�,b4
11( ttu
itv nS CO I. , V Cc.ama p
VENDOR 30 S. RO.ntinc, R,d ' SHIP C vNUnItj 12((&110111. S -D )0-f -
DJ Mt/l, IN Lioo�a One CIVIC seb.
CaMnuI, -nS LIto032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5 Ms rNr 1� 1 u .r1>td- 3M4-u c�i .Seu.� ..�'Gh.9` `,I3 , �
k,.')J-:. '' �. -t m-ra 9 h.. .; '�fi -a9n-w.ri.:.s. _ a— a.
Half Tale al n rail( Cld Dec . 10 1 1 530 •
•
m 1
Send Invoice To:
12°3 /9'2)419560 $ ` ,
• PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT . AMOUNT
PAYMENT ,
• MP 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
•SHIP REPgID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
iiiiit
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY a_/�'(,J7/�ppp7/'M�'q`�y/, `
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ( """'" / . ,"
SHIPPING LABELS. ����//��// //y'� ,�7 O
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE y-" e W/!�(/I- bl. a (z I T ere r,o,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. (((///
= O CLERK-TREASURER it
DOCUMENT CONTROL NO. O OFFICE COPY