HomeMy WebLinkAbout31592 Roberts Carmera City\�/ o Carmel CERTIFICATE ENO.003120155 002 0 PAGE
ww y n. �1./ �Y JJLL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3 j 59 Z
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 ,
1 18 ao i3 I I
/IR ofbe r 45 /Ca'nu-u... Na �J a J/ /�N ecL
VENDOR Ca / (O old IV1 CYt 0. I4'l Sr•) SHIP. Cl4-L/ Qt Ca r tut-4
B014-3'. 25 S. Mtrrd tun S+. TO n� Ctv I c_ 5 uave
Jr,d1H �1u�s^/h, lnJ %z2 - 801rne1 , l \ � t (9D3a-
_CONFIRMATION BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION ` UNIT PRICE EXTENSION
( )) 50n y NEX- & L 00meit-A-. . iii 9. 00 IL
(0 pgifim pal s �`2-Q-n4 r 23c0•
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Send Invoice To: `-' N.
nd3/q�e W 5 20
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PLEASE INVOICE IN DUPLICATE
•
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Ir PAYMENT
• NP 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 SUFFICI TT AV FOR THE ABOVE ORDER.
•SHIP REPAID. ■
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1 !
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. � t / ./
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 21 // •• I !�C OV` D , 4•
ANDACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r - •
CLERK-TREASURER
'DOCUMENT CONTROL NO. 31592 - OFFICE COPY •