26313 Indiana School of Backflow & Cross Connection C ity. INDIANA RETAIL TAX EXEMPT . , PAGE
of Ca i ,,,�� ,v., TI!CATE:NO.003120155 002 0
PURCHASE ORDER NUMBER •
FEDERAL EXCISE TAX EXEMPT 26313
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AJP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL:1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
[PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
•
1 12/4/2012
•
Indiana School of Backflow& Cross Connecton Street Department •
f VENDOR SHIP 3400 W. 131st Street
2313 W. S. R. 32 TO Carmel, IN 46074
• Westfield, IN 46074 (317) 733-2001
CONFIRMATION Npa}11'h I0eNTRACT PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE
EXTENSION
•
Account 0043-570.04
. 2 Each training = $650.00. $1,300.00 •
•
Sub Total: $1,300.00
-,. a 1, _ .......,
KoLtoeycii _.' , ., -:,,,,,al-1,(..U'llif- 'IVO'',
4 ,
, \,..A lifjl' v:.,,e .111111\*
9 aL )04 -1 0)0 ,•,_
ei
NI4 °MI 4 ,
0
\mow ep ..,..“......(F-_,\\ 0 ),, . .
I A, , c#1 . \
Send Invoice To: \ .1�
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE. •
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $1,300.00
• • NP 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
•SHIP REPAID: THIS APPROPRIATJ��FI
TENT 0 PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY 4014 Y���. --
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
•
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / �,( IC
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. kaAL• �
CLERK-TREASURER V
DOCUMENT CONTROL NO. 26313 •OFFICE COPY