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26465 Miller Transporation City 11 ��,e r PAGE INDIANA RETAIL TAX EXEMPT C II \u O tt ar 111111 t e I CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER w lL LL bus FEDERAL EXCISE TAX EXEMPT 0/ G2/ 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P 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 j I PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO i 1 y' I DESCRIPTION 3 079 -i a-- ii- 20 c A ti -e-ti n: 1 T �o Y 5 /G (o S )1 SHIP C/U U d I O C S VENDOR I v� OrC/frr �Id f4-7-1 too S -1 TO D A-C. e i gip Z Sy d r,i L/4,43a CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT I X QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION A li/ 3E re" -kJ ti/ 61-4eIJ, v, fair hel-- /LignJ Cp o m i r s Lo( hAtA �rOMlr) a 1117 1 1 0 2_060 00 4 iss l 0.. la Send Invoice To .G in S, talA� ll 0 h Dcs i )1 Z CJv e 4 -y 07 c' R-034-( b4 5 148- S b9 di) ©tip c,vl S 20&0. 00 0lirtad I toil 140033— PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT AT 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. I H EBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS THIS APPROPR[ATION,SUFFICIEN TO PAY FOR THE ABOVE ORDER. SHIP REPAID. •C.O.D. SHIPMENTS CANNOT BE ACCEPTED. m -1 4 Vim• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. r THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLt:/7 -7 -3 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r CLERK- TREASURER DOCUMENT CONTROL NO. 26465 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE