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31544 American Structurepoint
City of Carmel IRTIFICARENOLTA12155IPT PAGE I'�/ CERTIFICATE NO.003720155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 319119 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION II SHIP C RC VENDOR A inn or � rindoe ?UI�� TO 30 W/VIA ih 5-1 , 72 60 5hndelAnd s+e-hon Znditin6polis, 14 4 6Z56 (6rr11e(,14/ 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 4 �di�ionAl Archife(4urAl / en9ineerin, i, 9,500 5ervi (ls for -1-{`e len projetl' __ l! • © o . 0 , , :::::, ei..., AralSend Invoice To: ( I I C U� Pr 50 W 14 5t. f� . ( rme\ ,T4 1.4 b032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Q f UZ Lj460 07 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 APPROPRIATION 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. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I L / e-' / AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERRETTO. DOCUMENT CONTROL NO. 31544 CLERK-TREASURER A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE v I