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31900 Crossroad ENgineers • City o f Carmel INDIANA RETAIL TAX EXEMPT 00 PAGE 1\�1/_1111 of C INDIANA TAI TAX EXEMPT 0 PURCHASE ORDER NUMBER _ FEDERAL EXCISE TAX EXEMPT 35-60000972 �j O V 1�' 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 C VOSS✓�y�� VENDOR '""� J4� knee;is SHIP .0 . O p -EY1s 1v1ee,r\ 0 TO • CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION / -' it 0! f � � C� � O loo: •.0 • . � ,. ©. VAN. Sceq p ws �; �`" ;w ,� u+`�S �.S s • n • NIIIIIk 1J' 0 ��r " � Or • SendlnvoiceTO: 1/lll�� eta9-D .Qa • PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THEP, 1OPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • 1 HEREBY CERTIFy7HAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPR ION.SUF ICIENT TO PAY F THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACQEPTED, / ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL / \^ ' SHIPPING LABELS. ` `//� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE • / 1 C//•••�1 A 14-4162; ND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 31900 . CLERK-TREASURER ' OFFICE COPY .