HomeMy WebLinkAbout27624 Mirazon Group t f I,�/ armel INDIANA RETAIL TAX EXEMPT PAGE 7U
1 11 1 1 11 1 CERTIFICATE NO. O. 003120155 155 00 002 0 PURCHASE ORDE 'N
FEDERAL EXCISE TAX EXEMPT
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ONE CIVIC SQUARE THIS NUMBER M ST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER, DEL ERY 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. DESCRIPTION D
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VENDOR 31?. 4.✓I,i- far P 1 SHIP r j J,(' CI ►7! d t.0
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION ,'y UNIT PRICE ,EXTENSION. '12- 4 7J.
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Send Invoice To: 5Jloo i� O M f J l 1 7
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT qf PROJECT ACCOUNT AMOUNT
00? 409 a2- PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
N UMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
I VOUCHER HAS THE PROPER SWORN AFFIDAV ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UN* 4 .ATED BALANCE IN
SHIP REPAID. THIS AP PRIATION SUFFICIENT TO PA Fe' T.- •HOVE ORDER.
•C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I
PU �L
RCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
27 CL ERK- TREASURER
DOCUMENT CONTROL NO. V OFFICE COPY