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26495 P K S ConstructionCi 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 O7404/ 95- THIS NUMBER MUST APPEAR ON INVOICES. A/P VOUCHER, DELIVERY MEMO. PACKING SLIPS. SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 191 6 2,0g VENDOR 7D 3 co- uxu..4 , Tac, y so so-4 PiAtd ASP. &Lie 4 Zic ClLo-„D �o�a , T� 'lb 2 11 SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Send Invoice To: Caa* , CCEli�c ti ci■1) °.11� �... ru% �G -p�,,,1 ::fit; • s0 c-PI 94 '.< / , a wy, ,.,. vet c C, 2_J, X 60.3.7 PLEASE INVOICE IN DUPLICATE DEPARTMENT )LOSS ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT re / 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 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 26495 ORDERED BY TITLE CLERK - TREASURER OFFICE COPY 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 PR•PER SWORN AFFIDAVIT ATTACHED, • I HEREBY CERTIFY T THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIAT T TO PAY FOR THE BOVE ORDER. 1