HomeMy WebLinkAbout25857 Mirazon Group TAX EXEMPT
C I� �a �r l o Carmel CERTIFICATE NOL
PAGE
w 003120155 002 0 pURCHAS RD U R
111111 FEDERAL EXCISE TAX EXEMPT S 7
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
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. Ant DESCRIPTION
/(7 i) 2i i4€ nt MAI y,�teP` Z`
VENDOR d/2 W/!/ 1/11 i P SHI 11>S 6 t/1L rf" 1-�
,,r ,1e.. TO Ca r m p 11 bo
inu!svi//e, 4`J `'D)2 14,"- e o asoket"
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIP.TION UNIT PRICE I EXTENSION -q„
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i 7 to a ackA194.4c 441717"n 41
221 4 VA /�7L a If
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Send Invoice To: 54 �,/l JO 'y"' Or
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/62 .5) D PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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 APPR• 4 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
GO.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Ai
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ,Vi ree
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 2585 a� CLERK-TREASURER R
OFFICE