HomeMy WebLinkAbout26020 George Geib Ph.D. C i t I{° C arr ia e l IRTIA RETAIL TAX EXEMPT PAGE
J 11 1 l i l t CERTIFICATE NO. 003120155 002 0
Y PURCHASE ORDER NUMBER
Ot iMak o FEDERAL EXCISE TAX EXEMPT t ^D
IC. 35- 60000972 O([Q /7(
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
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CONFIRMATION BLANKET CONTRAC PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 4 DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
Jl DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
1 //W /,30 3/400 PAYMENT ,S; 0 25C. Op
eifiltattaci ga NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C O D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE a v 'i i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 26020 OFFICE COPY