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HomeMy WebLinkAbout27715 PaperLite Division of Mathes Assoc, Inc. • A, INDIANA RETAIL TAX EXEMPT PAGE C 1 of C�r�e CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27715 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 10/2412012 Laserfiche Forms Support Paper-Lite Divison of Mathes Assoc., Inc. Carmel Communications VENDOR SHIP Terry Crockett 1711 Wood Valley.Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 • (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT • QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION Account-43415.02 1. Each Laserfiche forms annual support $6,176.00 $6,176.00 Sub Total: $6,176.00 , Of fliii,,, ,e0,,,,, \ . _ .fir^ , 4,4 ...A., • ��,* . *,,,\q• ,,,,,„\, , k i: / ) . ,, a ilk A � • ii I ' °. ,,,,, ° Q s ' E ..,°** \ i ' . Send Invoice To: City of Carmel Terry Crockett . • 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT f ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel IS Dept. PAYMENT $6,976.00 • A/P 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 CER FY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROP 170 •SD@FICIENT TO PAY FOR THE ABOVE ORDER.• •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Director •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 27715 OFFICE COPY