Loading...
26555 American Structurepoint Citty0 Carmel INDIANA RETAIL TAX EXEMPT PAGE J 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 2(OS S 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 3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION lol /' . SHIP ` t VENDOR ���'. U. . -- 1 �.Q._Q-fit 1/, TO � CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION . , UNIT PRICE EXTENSION ik fk, ..* I r..?,,, SCA C k it/ ',k„,2 °A ad x I. UvCHovi w\ ,��ec h 0- vl el, „ft ., ilg, .* : .. ,4 !:- ' i fiiil,, \ e., .''' \''' * '• •, ��i Send Invoice To: •• ,c 000 S ' -41-tre:01/<0 ' 2 \∎ - Sod 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. • I HEREBY CERTIF TH�J,,THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS �,� THIS APPRO "ION-SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. f •THIS ORDER ISSUED IN COMPLIANCE WISH CHAPTER 99,ACTS 1945 TITLE / ` AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 6 CLERK-TREASURER ■OCUMENT CONTROL NO. OFFICE COPY