HomeMy WebLinkAbout26033 Sungard Pentamation City ty o f Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER
1. 7
FEDERAL EXCISE TAX EXEMPT O'3
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 DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
S W1lLyf V VIU� a 1( 1 SHIP co l� lJ VENDOR lJ
TO NA n Lei
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
(./up {-1 ov
4 �r//rErr�f
�r (I) �r
NIA OP`
z 5 o Rq Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
R I l I n PAYMENT
I/ 1 .s7 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 1 HEREBV CER THAT THERE SAN UN0BLIGATED BALANCE IN
THIS APP PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
1 I
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY I✓A�..^C-C/(
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 0 3 3 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY