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C c f CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 027...V9
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
PIO III ASAP
Wcr{(Spae So\uinOns SHIP CCU' e_ Cu I'
VENDOR /L
9 19 '�Il P' TO 1 Cfv,c, `vtuare
rota 1,Jo. ,t) 5IL805 mel JA L p 3
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE- EXTENSION
783. o ea_ L i,l co14 ic. -aIe a ?d g83. OD eu 17 (,().0.0
,I. 74.(- ,36,70? G L
ffJ�j.. 0'1 0 .9.. 1
V
db.:. 14201 VGA
1
G
Send Invoice T6: �l F
PLEASE INVOICE IN DUPLICATE 966. r
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOOUNT
c,pi 63o .Oo PAYMENT 4i2 66.r 1
NP 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 1 HEREDY CERTIFY THAT THERE SAN UNORLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAV FOR THE ABOVE ORDER.
SHIP REPAID. A 4 T I
C.O.O. SHIPMENTS CANNOT BE ACCEPTED.
ik- PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. �µI Q I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE �y4[/IY \.J:•Vt.C. (jl�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY