HomeMy WebLinkAbout21671 The Hylant Group O INDIANA RETAIL TAX 0XEMPT PAGE 1 f 1
City ®n Carmel CERTIFICATE NOO. TAX XE PT 0 T
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT al 1 L 7
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
1 -416)U
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VENDOR o l,7 009 ZS TOP �vt C�K�
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ci-c, r..,10) .ZYJ 1 C c` 1 2 1 TI 03 Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
i fs Q
f Pi 14' 6. a
t et e SO
I t$1
Send Invoice To: i I G
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
z -jam Li 75 PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.0.
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 APP• RI• TI• SUFFICIENT TO AY FOR THE ABOVE ORDER.
SHIP REPAID.
C.0.D. SHIPMENTS CANNOT BE ACCEPTED x,
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY n
SHIPPING LABELS /1 V
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 000���--- \I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
1 21671 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY