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33131 Brad StedmanCi of Carmel 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 33/3/ THIS NUMBER MUST APPEAR ON INVOICES, AR VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Brad 5}edmen, fon4niter- VENDOR (FP (6rftel)Tni'IAne Ener9q (enftr,LLE I'21 64-A 5+recd Eny+ Po Box 656 We0 Ft\r,a, ND 5807.' SHIP CR( TO 30 W4_A1h Si ,urfe 22o ((rind, -TA/ 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Send Invoice To (RC 30 W. Ablh 5±. SN'ife 2.20 (i,rmcl, I N t16032_, 2015 annul sdnil -; es 4or Cer+\{dales of Pnri\it)k}'ton, 5e -1e5 el Mot PLEASE INVOICE IN DUPLICATE S13,662 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 902 04 0303 SHIPPING INSTRUCTIONS • SHIP REPAID. • C.O.D. SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1995 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 33131 ORDERED BY 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. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 71. TITLE CLERK -TREASURER VENDOR COPY