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PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT .J r„ o31
35- 60000972 v� v
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AR
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
SiprI r C
VENDOR SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
&O is
C7 �p i Le_ �Oo l OD
tf /lr �f�
NEN
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
I(]I II O 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 I5 AN UNOBLIGATED BALANCE IN
FI C
THIS AP PR PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. I
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
c CLERK- TREASURER
DOCUMENT CONTROL NO. 26037 OFFICE COPY