HomeMy WebLinkAboutHasler - Purchase OrderAPPROVED D•Y THE STATE BOARD OF ACCOUNTS FOR THE CITY OF JEFFERSONVILLE-
PURCHASE ORDER Form 98 (Rev. 1998)
CITY OF JEFFERSONVILLE
PAGE: 1
INDIANA RETAIL TAX EXEMPT 500 QUARTERMASTER CT, STE 300
CERTIFICATE NO. 003120953-001-0 JEFFERSONVILLE IN 47130-
PHONE: 812-285-6422 1139
PURCHASE ORDER NO
FEDERAL EXCISE TAX EXEMPT FAX: 812-285-6426 .
35-6001057 THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER DELIVERY MEMO PACKING SLIPS
TO
REQNUM 1139
SHIPPING LABELS AND ANY CORRESPONDENCE.
SHIP TO:
City Council
500 Quartermaster Ct.
Jeffersonville IN 47130
ATTN:
DATE DEPARTMENT SHIP TO ARRIVE BY
September 6, 2007 CITY COUNCIL
APPROPRIATION gUANTITY UNIT DESCRIPTION UNIT PRICE AMOUNT
NUMBER
101013327.000 1.0 EA RASTER WJ150 MAIL MACHINE 4995.00 4995.00
101013327.000 0.0 HASLER WJWP10 SCALE 0.00 0.00
101013327.000 1.0 EA ANNUAL MAINTENANCE ON EQUIPMENT 650.00 650.00
SHIPPING CHARGES: 0.00
SHIP VIA TOTAL 5645.00
SHIPPING INSTRUCTIONS PAYMENT
'SHIP PREPAID ' A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS
' C.O.D. SHIPMENTS CANNOT BE ACCEPTED MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE
`PURCHASE ORDER NUMBER MUST APPEAR ON ALL PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING LABELS. ' 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENTAL THERETO.
ORDERED BY
TITLE
VENDOR # 5094
CENTRAL BUSINESS SYSTEMS
P.O. BOX 4450
LEXINGTON KY 40544
OFFICE COPY
FORM
AEB 530
y I SUGGEST THIS
ORDER 6E PLACE
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CITY
ATTN. OF
DATE =`
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REQUEST TO PURCHASE
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ORDER FROM
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APPROVED BY ~ ~ } GC JJ
REMARKS:
APPROVED
ORIGINATOR