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HomeMy WebLinkAbout31613 Granicus C0 ty of f Carmel INDIANA RETAIL TAX 015500 PAGE 1111 \\ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT i! r !� 35-60000972 .J 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 ? Gnram 1 CI&L'4 ) �It)C ( / VENDOR �•0' "4V/' )1933r. TO /V /�+ S'q-t,J.e, a4 45/ct! CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY \/\y/`U,NIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 00 ,.; ©4 ii, ,40,,. 3, v c 1 : a -4 . ** G ° c� 1 p "G °. ,, y �/ L134 A�l• S -f 4 J /C p �f�.s 01 Send Invoice To. G�i l 1= (;�/��(.JtiC ir 0 40.1-- 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 VOUCHEfi HAS THE PROPER SWORN'AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • THEREBY CERTIFY THAT THERE ISANUNOBLIGATED BALANCE IN TH ISAfPROPRIATIOIYSUFFICIENT•TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. \'�' ,� i t, ,/ �/ ,.[ 9)�/��� •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �C�L(/ , \,�,+iL�C_l{V tzt.. '-- •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS ..�� hh � •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -73(4-/�,/ U�'I /1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q CLERK-TREASURER DOCUMENT CONTROL NO. 31613 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE