HomeMy WebLinkAbout27621 ESRI, Inc C ity INDIANA RETAIL TAX EXEMPT PAGE 4f Carmel "t CERTIFICATE NO. 003120155002 0
":j PURCHASE ORDER% UMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 f
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
1 CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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CONFIRMATION BLANKET CONTRACT i. PAYMENT TERMS 3 FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION u 1 UNIT PRICE EXTENSION
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Send Invoice To j;J i
PLEASE INVOI IN
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
?6°2 c:/--)Y. 0.7' PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 TNERE IS AN UNOBLIGATED BA <E IN
THIS APPR�' ATI N SUFFICIE TYO PAY F• THE ABO a DE13.
SHIP f�EPAID. t. g 'w -,-e,,‘ r\
c0, SHIPMENTS CANNOT BE ACCEPTED
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY fit 1
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A N i 1j, f`_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r
CLERK- TREASURER
DOCU CONTROL NO. 27621 OFFICE COPY