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C itY- o_f Carmel CERTIFICATE NO 003120155 002 0
PURCHASE ORDER NUMBER
Dow Fr 4/4") FEDERAL EXCISE TA X EXEMPT
35-6000097 ni(p3 g V
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES NP
CARMEL, INDIANA 46032 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/C
VENDOR Aikiv SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
SF X Lei 6412/60 /0 /9 100. 60
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Send Invoice To 1
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT' AMOUNT
40,4CP i 5 30 0 V 75 e 0 di
cPAYMENTA V
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO
C90, NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS ARPROPRI kT TO PAY FO• •VE ORDER
SHIP REPAID
C 0 0 SHIPMENTS CANNOT BE ACCEPTED
ORDERED BY I -age
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE r iga -A -litailt i .4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
CLERK TREASURER 1
DOCUMENT CONTROL NO. 26384
OFFICE COPY 1.