HomeMy WebLinkAbout31605 John Molitor PAGE INDIANA RETAIL TAX EXEMPT C i y of Carmel CERTIFICATE NO.003120155 002 0
PURCHASE HASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3/ /.. o
35-60000972 Y'
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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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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7tO0 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 SW9BN AFFIDAVIT.ATTACHED- A
SHIPPING INSTRUCTIONS • I HEREBY CERT I0HATyTHERVIS AN UNO CIGATEDBALANCQIN ' ,
THIS APPROPggq��FqqqTION SUFFI IENT TO PAYF RTHE ABOVE ORDER.'
•CHIP RSPAIM �� / ,f ( T` /'`,.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ` r
SHIPPING LABELS. �( I' / A • r
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE DI l-(..�C/ r VJ,./C//L
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, 1
DOCUMENT CONTROL NO. 31605 CLERK-TREASURER
A.P.V. COPY•SIGN AND RETURN TO CLERK'S OFFICE
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