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32365 Skill pathCity of Gemmel o , OF LQLA.) ONE CIVIC SQUARE CARMEL, INDIANA 46032 -2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35- 60000972 PAGE PURCHASE ORDER NUMBER 3a3&5 THIS NUMBER MUST APPEAR ON INVOICES, NP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION ialsllq VENDOR -T—V 1�'Ox 1161-11-11-1\ I�Gn s City, MO 60/go-LILA tII SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Send invoice To: �2Ji� � ti an G r 4 s sfa n -f- Sem Ana r Sam115 and &m•I ncr mat raj . PLEASE INVOICE IN DUPLICATE c So. q DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT LL . 04 L-" - II $D 435-700q 4Ig9. 00 �S u(fi•al Fps • SHIP REPAID. • C.O.D. SHIPMENTS CANNOT BE ACCEPTED. E X t i I ,'(1 I n 115 % l7RC DERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. SHIPPING INSTRUCTIONS 435_700Q - 3) , D DOCUMENT CONTROL NO. 32365 CLERK - TREASURER OFFICE COPY PAYMENT 0930, 9 () • 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. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN TION SUFFICIENT TO PAY FOR THE ABOVE ORDER. Ify I I tbrrue. y