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26415 Shapiro's City ®f Carmel RETAIL EXEMPT arme CERTIFICATENO 003120550020 PAGE PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26415 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, Alp 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 2/28/12 Shapiro's Delicatessen City of Carmel VENDOR 918 S. Range Line Road SHI Community Relations Dept. Carmel, IN' 46032 T O One Civic Square Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Catered Lunch for Holocaust Rembrance Ceremony 2012 900.00 O J f�; C ��ti1 el �oQ O it,{\I G, Send Invoice To: f1.- y j) 1203/4359003 Festival Community Events $900.00 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT A/P 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. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPR IO EN PAY FOR THE ABOVE ORDER. SHIP REPAID. GOD. 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 TITLE %4 0 L 9 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1-, 4 CLERK- TREASURER DOCUMENT CONTROL NO. 26415 OFFICE COPY