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1 it 0 Carmel armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
�a �a FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED1BY S TATE BOARD OF ACCOUNTS FOR CfTY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESaoINDENCE
PURCHASE ORDER DATE t DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 t r I J 7� Cc t�j "1 co rme,
VENDOR 7)) l 1 /fp I4 D,. SHIP Il Q 6 vi >L t o32- TO ea r�'V! 4 )1V 46 Carm___�
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CONFIRMATION BLANKET CONTRACT 1, f PAYMENT TERMS J FREIGHT y�'
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QUANTITY UNIT OF MEASURE T;,, DESCRIPTION UNIT PRICE yy 4 =EXTENSION
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her P fin week G 9i2.,, f p
0 A DT_ C... A e a
p 1 .4 410
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Send Invoice To: /p Or
PLEASE IN IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
—5Iy /'Z PAYMENT
y 7 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 ISANUNOBLIGAT5D BALANCE IN
THIS •0PRI/ TION SUFFICIENT TO PAY FOR THE/AR•VEF&DER. s
SHIP REPAID.
CO.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL I
SHIPPING U
y /./j
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 T.LE �J` i( V f_ L�!/i_a--�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 8 5 8. f CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY