HomeMy WebLinkAbout25860 Betley Systems Inc Ci �I CERTTIFICATE NOI 003120155 02 0. PAGE
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FEDERAL EXCISE TAX EXEMPT
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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
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. pp DESCRIPTION
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CONFlREATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY jUNIT OF MEASURE DESCRIPTION S UNIT PRICE "EXTENSION•
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Send Invoice To: I fir
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT 1 AMOUNT
ail? f -d 02 PAYMENT
AN 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 IS AN UNOLIGATED BALANCE IN
SHIP REPAID. THISA PRIATION SUFFICIENT TO Pfr :02,o ABOVE EV.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 C O 6 O CLERK- TREASURER 1
DOCUMENT CONTROL NO. J O OFFICE COPY