HomeMy WebLinkAbout25864 Graybar l\ ]1 I O 1 arme ]I CERTIFICATE NO 003120155 002 0 PAGE 4./ �r u �1/ J111 PURCHASE RDER UMBER
FEDERAL EXCISE TAX EXEMPT el
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
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VENDOR q O' o r 9 ai J SHIP nee C
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CONFIRMATION BLANKET CONTRACT f PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 'EXTENSION
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Send Invoice To: j9) 1 9 O r� f� adi
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT r,' PROJECT ACCOUNT AMOUNT
lap 63.2 D PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
4,. 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 ISANUNOBLIGATE BALANCE IN
THIS APP I• ION SUFFICIENT TO PAY FOR TH• •eVE ORDER
SHIP REPAID Q
D.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING 1
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n
THIS
ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TI7L 1 i r P� Y �rV'Y_sJL_-'
AND D O O ISS
ACTS AMENDATORY THEREOF AND SUPPLEMENT THERET DOCUMENT CONTROL NO. 2 5 8 0 CLERK OFFICE COPY
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