HomeMy WebLinkAbout31609 Gordon Flesch C1� o f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
1111 111E CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT Si c- v/
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
ic2 /,3I3
Cjro2&).) ,2 sc-h , 1 At- . L54 'ti• 4-57FuviA.r
9aov A 5!t,-az_ Cre,66"T °/� c', i o� c 4�t �,„tE-
VENDOR p3-UI ,� 100
SHIP D �/
TO (� C
4&Q,"27 04;!I"y,a o• -I'' `I rfo3----
CONFIRMATION BLANKET' CONTRACT PAYMENT TERMS FREIGHT
QUANTITY/`J\C/\UNNIIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
cfneex-11-, 64_2'L 4 /PO4-#1771- L-/
0 D p 1:-tr t 71 ,6C _ 3,OD• (5-b
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Send Invoice TS° CI I 0r C' mf L"�Vj- - 11V ;�
c,iL .
4030
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I 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 HEREBY CERTIFY HAT THERE IS AN UNOBLIGATED BALANCE IN
T IS A•PROPRIAT NSUFFI IENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / - I/y��(,!I
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS, �J'',
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE • •47tL.1 LJ✓,ML(
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31609 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE