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31709 Ground Rules 0 r ' !INDIANA RETAIL TAX EXEMPT PAGE �� of 1\ � CEgTIFICATE N0.003120155 002 0 �1/ eJl PURCHASi/07 SE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT `". 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 Ground- uLas pi,ite.. flats&kegil P-o. Ed a.3c. SHIP 6ocs VENDOR TO Q/02- e,✓r G 21 )S ✓iiiVI 1St} N'60 G,tiryx� yi,a3 a-- CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT X QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION arc 7} lf/1c t gg�ff,�D�.. :21,-Rk4(c)>J\ -00 - c) --re. 4 ` •. 7 • • u • / , ( R Send Invoice To: AIM Al S� flt 4A-1 :" {7� ©� cid ea( sn p,Jt l l tJr c c cam. . ' L/7, s7-v to r 'IL- _ ��03 y PLEASE INVOICE IN DUPLICATE /DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT / PAYMENT . • 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 THE PROPER SWORN AFFIDAVIT ATTACHED.SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THATTHEREISAN UN 41C>6TED BALANCE IN - --Y HIS'APPROPRIAT ON$UFFICIE PAOR'THE ABOVE ORDER. •SHIP REPAID. Y •C .D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL �- SHIPPING LABELS. ■ (,/ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1,, TITLE �` l !-49\ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31709 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE