HomeMy WebLinkAbout27696 Carmel Clay Communications Center C 1111 II Carmel ®f INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120 PT 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
274,9
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 �1
DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
/2 22
VENDOR 2a4s/ -e C U /0/ -tit 4 Of'7 SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
6/�'u 7-r-1 ,�°c. �II,L 6Q a he c lop' �4'
oiz so ac '4� �Q Q
0 CP .4
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Send Invoice To:
A 9 t oo
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THI PPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID, i
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY a \BFI CO
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1C ek C
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
I H DOCUMENT CONTROL NO. 27696 OFFICE COPY