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\�1J CERTIFICATE NO. 003120155 002 0
PURCHASE ORD RNUM E
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
DS -��IL 4 14 7 1/fir Ha i n m r
C raI. A CI #71 armee
VENDOR 6 Z r. SHIP
TO r�� Gt✓lo s
CONFIRMATION BLANKET CONTRACT TERMS FREIGHT tip „y
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A ti
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Alc !U�' �ard►�r ��a� S.
/n a a� ir/1 ele y aS "Y 4 /y3s, S it/
e.
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Send Invoice To: il\•
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PLEASE INVOICE IN DUPLICATE
i. DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT T
/90 G 3-2- PAYMENT
AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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
SHIP REPAID. THIS AP n ION SUFFICIENT T FOR THE ABOVE ORDER.
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 1 a 7i„
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1
2 C L ERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY E f