HomeMy WebLinkAbout31607 APP Order CityJ,��,e INDIANA RETAIL TAX EXEMPT PAGE
o Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
of Carmel gsJJJIII FEDERAL EXCISE TAX EXEMPT 3/6,o
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 n UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT i 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 SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I H REBY CERTIFY THAT THERE 144 UNOBLIGATED BALANCE IN
TH 8 APPROPRIATION, UFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �1 ..
- ORDERED BY / / /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL I
SHIPPING LABELS. �I'' l ,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE"(,' -"" '- 4 d..14.2 c.,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r
CLERK-TREASURER
DOCUMENT CONTROL NO. 31607 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE