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31756 James M Vanslambrook C ® Carmel INDIANA RETAIL TAX EXEMPT PAGE J111 11111 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 317 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 5/C/Il- fanv$ M. Van5lamlovook C1- 04 [aventt VENDOR ?Li 2 V(SLtH- WIVid C+- SHIP COrWWWY11h1 12{ l0..'}1cwi) ° nr TO Or1C £&ic. Warhol 7 k) 110032 Cavrr(.1 zti laxyg z CONFIRMATION BLANKET CONTRACT PAYMENT TERMS . FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 31L77 bn - Mohan pei{arrname - (v/21/1q 39195- pO • . ti�4 c�: -42• ' '\ '' ■ (i.4�? �0 000 � . , Send Invoice To: Sit- .� � (©C ° J 1203/y3cci003 ff1 • _) 859s 00 PLEASE INVOICE IN DUPLICATE DEPARTMENT . ACCOUNT I - 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 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SOFFICIE TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. G.J(I/// •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL /� SHIPPING OER ISSUED A '0. ^ y �� tear. - •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE !FI'/'Y � C/ �C/ls(/ JG(�/�((/.p1.�/J AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 317 56 OFFICE COPY