101781 CUSTOM CAST STONE INC 11�. (���" INDIANA RETAIL TAX EXEMPT
t.,arm ci CERTIFICATE No.003120155 002 0 SPE O 1 of 9
Jl1111 PURCHASE ORDER NUMBER
IF, CAR
,-,NE CIVEC S(�U, RE FEDERAL EXCISE TAX EXEMPT
P 'RM Apr fZOVgp'IEL• INDIANA a03- 2584 _ 101.781
35-6000972
BY STAT' THIS NUMBER MUST APPEAR ON INVOICES,A/P
, _ BOP o dl ACCOUNTS FOR.CII Y OF CARMEL-1997
URCHAS�ORDER p VOUCHER,DELIVERY MEMO,P
' ATE r" �_ PACKING SLIPS,
-----------. 'rEREO" SHIPPING LABELS AND ANY CORRESPONDENCE
7/12120,$ - ( �_� REammumumm.
P RFP'11SITION NO. VENDOR NO. :;
DESCRIPTION;
353580:
CUSTOM CAST STONE INC
:..
73.4E169THST
Street Department
VENDOR
SH/P 3400 W. 131st Street
WESTFIELD;IN TO
PURCHASEIDNam 46074-
Carmel, IN"
CONT
27501
46074-
(317)733-2001
FREIGHT
QUANTITY UNIT OF MEASURE
Department.' 2201 DESCRIPTION
Fund: 2201 Motor Vehicle Highway FND _
Account.'
42=390.34 EXTENSION 1:
9 Each .
Wall Coping
$2,000:00 I
-- $2,000.00 . 1
Sub Total $2,000.00
'Invoice To:
et Department
'W. 131st Street'
lel, IN 46074-
733-2001
a
DEPARTMENT . PLEASE INVOICE IN DUPLICATE
- - -- ACCOUNT PROJ _
P E
.. AMJ.7,111-TDO T CT ACCOUNT - -
PAYMENT .00
INSTRUCTIONS •A/P VOUCHER CANNOT BE APPROVED FOR PAYMCN i NLESS THE P.O. NUMBER ISOMADE A
PAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
IPMENT CANNOT BE ACCEPTED. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
E ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
ER ISSUED INCOMPLIANCE WITH CHAPTER 99,ACTS 1945
AMENDATORY THEREOF AND SUPPLEMENT THERETO: 72,,c.....:22/41(„_---2,.---,..-1.
ORDERED BY
Dave Huffman
TITLE Director
ROL N0.: 101781-
CLERK-TREASURER
\\:J