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Ci of ._4C 2Ir �'�ae II JJJIII CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
t -fik- revait- i ��vv FEDERAL EXCISE TAX EXEMPT Q
35- 60000972 !J LO
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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
VENDOR /1 SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY IUNIT OF MEASURE DESCRIPTIONr J UNIT PRICE EXTENSION
Arabi j-LaMteletritee4 v 00 0
X� 3 G Q 945a/ CfLea
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Send Invoice To: "r -�lf 1 00
80/1 if
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT
gate HID y J3D09 PAYMENT 93 0ov .oZ�
-6 1 ,�„�1 i .1 NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
C/i�C/[/
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 SUFFICIEN *AY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITL' I eare��_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. f j r-I,
2 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE coPY