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31859 Morphey Construction C ¢,�,� J,(�,e //,/�y� _ �a INDIANA RETAIL TAX EXEMPT PAGE i \\/ o l\ :x grin e l timsgtk`WE�TIF bATIE NO.003120155 002 0 PURCHASE ORDER NUMBER a•• V �a \\/ LL FEDERAL EXCISE TAX EXEMPT 31859 - 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 2/2512014 Morphey Construction Street Department VENDOR SHIP 3400 W. 131st Street 1499 North Sherman Dri ve TO Carmel, IN 46074 Indianapolis, IN 46201 (317) 733-2001 CONFIRMATION I�IDgp'f�' T PAYMENT TERMS FREIGHT OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 0043-500.80 1 Each 116th/Towne $49,785.00 $49,785.00 1 Sub Total: $49,785.00 offr '• J. e { ; HI s-- u4 Send Invoice To: � J Y °g ©- " Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $49,785.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS lit.PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFITHAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIA ON SUFFICIENT TO PAY FOR THE1ABOVE ORDER. •SHIP REPAID. / •C.O.D.SHIPMENTS CANNOT BE ACCEPTED ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL I SHIPPING LRBELU. A •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q C CLERK-TREASURER DOCUMENT CONTROL NO. 318 5 9 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE