HomeMy WebLinkAbout31611 Van Ausdall C 14W o f Carmel( INDIANA RETAIL TAX EXEMPT 155 00 PAGE
1111 1111 CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3/J (fa ' I
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
/413i i3 .
VA)(( 4.04W 7�7? M 2/y
VENDOR 0./450 Eqsr -Z SJ7-al TO i�IIii"
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CONFIRMATION BLANK CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
a( rte t Z- Arid S -A
SCA70/02--r kealk- C dr(' d
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Send Invoice Toy e /7 V e ,! f � ���((f
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C CLI['O
LEASE 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 HEREfBY,CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THI APPROPRfATLQN./S/'1UFFFFICIENT TO,PAY FOR�THEEyA�BO(VVVE�/O�RDER.
•SHIP REPAID. / / / //� _ _`�✓e�6 �-
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / ((
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL • ORDERED BY /
°`�
SHIPPING LABELS. ���'}� ,,r
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .L%' �"I/rt.tJ� �� I/✓,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31611 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE