HomeMy WebLinkAbout26017 Keller Macaluso 1111 0 o 111r Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. O. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
Dri 40 TmGv z� /T v f L�J FEDERAL EXCISE TAX EXEMPT 466 /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. DESCRIPTION
I l/I g /I/
VENDOR 1
TO
r91 4032_
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE p EXTENSION
4 X2 %2 S 24 A`" :cg
1 S7
0 o
IOW
i fir.
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Send Invoice To: f
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
�a r' er PAYMENT 04.9.-5
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT
THE
VV y (2 X 7000 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE ISANUNOBLIGATED BALANCE IN
THIS AP FICIEN T TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. I C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY a
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ,at_ LI_.,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 O CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY