HomeMy WebLinkAbout25871 Hamilton County GIS C//111111 I` ary ®f armel INDIANA RETAIL TAX EXEMPT 155 00 PAGE U
CERTIFICATE NO. 003120155 002 0
PURCHASE O RDER UMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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
/211----101/ G rw, Pt' (:l5 /4J' h Cd e
1 145044 1% `l'0 I S C1'� 1 (4 r me
VENDOR Om 1 l4
t711 SHIP
/uv" (9D(° TO
Abia5,iillr/ /A 4 1'0 be
CONFIRMATION BLANKET CONTRACF Z PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION r A I UNIT PRICE I EXTENSION
4-ran tyrP y /e'' 14 i' ,r9 J\
C Orrn -CC 97 �X1 9.5
iii 4 CA-
�g
W 0 Na
I ke i
f �O -M- Ii 0.40
Send Invoice To: J
11?ji
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
/2-4902 7f/ d d PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.
NUMBER I5 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- IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY .X. J
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITL J
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 4
2 l CLERK- TREASURER
DOCUMENT CONTROL NO. 1 OFFICE COPY