HomeMy WebLinkAbout25982 Brazill Hester C 1 11 1 ity ®f C sane l INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. O. 003120155 155 00 002 0
Aid PURCHASE ORDER NUMBER
c x�z FEDERAL EXCISE TAX EXEMPT
35. 60000972 ��Q�
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ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AR
CARMEL, INDIANA46032 -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. DESCRIPTION
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VENDOR eC��( j ��J=G all/P1Q/ "that; e tal 5o o TO IP
c2 441,69,1t, ii €ta TV //ao 6
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY. UNIT OF.MEASURE p._DESCRIPTION EXTENSION--
02/22/U.,Cio. 2261-111411
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i 93/ 0 f4 ,2 1 7.3%
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Send Invoice To: Q O f6�
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT I PROJECT ACCOUNT AMOUNT
AIX) /g0 '939 40000 PAYMENT if 4 69 g 'Oa
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
061-126 ref r'd
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 PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I' ��ler
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t.11
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 25982 CLERK- TREASURER
OFFICE COPY i