HomeMy WebLinkAbout26426 Hamilton County Treasurer C 1 11 1 I`� i ty o f111E Carmel armel INDIANA RETAIL TAX EXEMPT PAGE J
CERTIFICATE NO. O. 003120155 155 00 002 0 j
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT a
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
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VENDOR
v..,CJti CCL: }Cr I' QAC UrCT SHIP ferry ecQvC t m�K��+
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
CCi.,3 15e 3).-11\i R Q s
S1 1 3a. 70
fj 0JS -74
1 74 i
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Send Invoice To: w O s
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
)Z•.,S $Z s PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THETROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI Y THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI 4 U ENT TO PAY FO' THE GBOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORCER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. A
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C LERK- TREASURER
DOCUMENT CONTROL NO. 26426 OFFICE COPY