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26418 Kipp Brothers City i f C arme l CERTIFICATE NOL 03120155 002 0 PAGE y Carmel PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26418 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DEUVERY 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 2/28/12 Kipp Brothers SHIP City of Carmel VENDOR 351 W. Muskegon Drive Community Relations Dept. Greenfield, IN 46140 TO One. Civic Square Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Treat bags for children at Holiday on the Square 2012 $1,600.00 r ri P a w 1 9. o'`'} Send Invoice To: o fir y 1203/4359003 Festival Community Events $1,600.00 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT NP 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 THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO P FOR THE ABOVE ORDER. C O.D. SHIPMENTS CANNOT BE ACCEPTED. ,,yy,� I A �1/ PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I r .l'�!{.� i'F"°v'�- SHIPPING U O �ip THIS ORDER R ISSUED Y•" UED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE i,(i /wv iy E )Q n�wv/ .r• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 'L C 4 Z CLERK- TREASURER OFFICE COPY