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i li \U +1®� ��11�J� �t�ei CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
t. OL�� /l Tr L /(/J A/ ru FEDERAL 35-60000972 1 EXEMPT /J 4_ g
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
9 �i //7
VENDOR is-014V SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
/i{,, C IY9/ fly 3S s c ceiA)
4 n o e
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Ntr.
Send Invoice To: j r G
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
/1 1, ao9 k3o 53009 PAYMENT 49 y/500' D v
/J U_ NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE E
l I ��y_/[/ 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.
COD. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY -t`" f
PURCHASE ORDER NUMBER MUST APPEAR ON ALL f.r^ y r t
SHIPPING LABELS. f y 1. J f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE.....
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER "A
DOCUMENT CONTROL NO. 27868 OFFICE COPY "Th