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31554 Purdy Masonry
INDIANA RETAIL TAX EXEMPT PAGE City\�/ o f Carmel l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER +' )' �/ FEDERAL EXCISE TAX EXEMPT /3/.55/$ 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP 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 I PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR Pur,\y 11630A r i, 1ii(, SHIP � h � 7n a! Ir.Jlnnn�olls R1/4l v lr/ �)n,r, �1., 5 •;I 220 Z1CRs Ville .1N '44077 (nrnINI, LeHC032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION I q •ell,-`I (IAIm ( hnnye objet far 313160, Go w91. k A4 Pdlnk lul m j�lxl�ir rr 0/©%...• Fv IJ aA . • o ((��� � �(� • ifs Send Invoice To: ( R( ` , O °" " tO j 30 Wfi1AiA 5t. ) 5u 2 ._ -- 1 (nrrnel,i N 9 60 32 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 102_ Li4 6Ug07 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 THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY e� p. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL .. SHIPPING LABELS. // ' .J •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE �i'/(>�-J��� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • DOCUMENT CONTROL NO. 31554 5 P.V. COPY- 4 CLERK-TREASURER A.P.V. SIGN AND RETURN TO CLERK'S OFFICE