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PURCHASE ORDER/VOUCHER This Number Must Appear On All Invoices. Shipping Papers and Packages. CITY OF EVANSTON 1200 MAIN STREET EVANSTON, WYOMING 82930-3396 (307) 783-6300 FAX (307) 783-6390 DATE DATE INVOICE NO. RECEIVED BY DEPARTMENT SPECIAL INSTRUCTIONS APPROVED FOR ISSUANCE REQUISITION NO. DATE RECEIVED PURCHASING DIVISION VENDOR INSTRUCTIONS 1. SIGNED VOUCHER & INVOICES MUST BE SUBMITTED BEFORE PAYMENT CAN BE MADE. 2. Vendor - Sign Voucher under Vendor Certification and return for payment. 3. Send Invoices and any Correspondence to: Purchasing Division 4. Give PO Number on all invoices and packages. DO NOT INCLUDE STATE OR FEDERAL TAXES ON YOUR BILL - CITY IS TAX EXEMPT FOR USE BY ACCOUNTING DIVISION ONLY: VENDOR NO. P.O. NO. INVOICE DATE AMOUNT B U D G E T C O D I N G D E S C R I P T I O N T O TA L S Not Confirming - Place Order Confirming PO - Do Not Duplicate I certify that the above articles were delivered, or services performed, as stated, and account is approved for payment. BY: DEPARTMENT HEAD DATE APPROVED FOR PAYMENT: MAYOR VENDOR CERTIFICATION I certify, under penalty of perjury, that this voucher and the items included therein for payment are correct and just in all respects. DATED SIGNATURE OF CLAIMANT