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HomeMy WebLinkAbout26420 Hylant Group C A INDIANA RETAIL TAX EXEMPT PAGE t \U �S/ ®f Carmel I CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER `j FEDERAL EXCISE TAX EXEMPT 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP 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 `eG,,,, Gc,u 0) k co,1-r,c) VENDOR SHIP IN CONFIRMATrON BLANKET CONTRACT PAYMENT TERMS FREIGHT I 1 QUANTITY UNIT CF MEASURE �DESCRRIPTIION UNIT PRICE EXTENSION I V''IV� 1 1 LNP Cn\ mil` ViVIGi1:CD 21-1 J5 72_ 11W Air di e (I) ii 4 x 1 ce:. t•N kdili II 4. Send Invoice To ©9 Ea pr PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT aaS 1)7_5 PAYMENT NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER I5 MADE A P A R T O T H E VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/HERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIT�SUF `TO PAY FOR THE ABOVE ORDER. SHIP REPAID. O CD. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELU. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. n CLERK- TREASURER 2 6 4 n DOCUMENT CONTROL NO. l! OFFICE COPY