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�1/ t� f 1\ arme CERTIFICATE NO. 003120155 020 PURCHASE ORDER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 C y 4
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
VENDOR I t10.5 4/�4' flak "e SO P ✓/C u err(
�7 �12 //T //v �'ot r m i e l j 6052
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS arc) FREIGHT
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1 1 1 k R. 44i
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To if ICJ -e_..5 N
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 'PROJECT PROJECT ACCOUNT AMOUNT
/6 1'2 yi9 0 5 15 PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF THAT THERE 15 AN UNOBLIGATED BALANCE IN
THIS APP I ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. S PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r
4,4
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TI L-E 'K*. -._D
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
DOCUMENT CONTROL NO. 26346 CLERK- TREASURER
OFFICE COPY