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26685 Word System, Inc.
INDIANA RETAIL TAX EXEMPT PAGE / Ci o f C ari e l CERTIFICATE NO.003120155 002,0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2 66 ' 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 'URCHASSE,ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION ./2 L ?C ( ? , . L ...) iiic Ccip01?6\,C SjPal ---7-1 (A , (7,0711((C ,2 ? ( y�/iI iiI.:n'l �17 04 SHIP ( I (C 7 u?,, VENDOR 0,1_,/, ���/ `� ,_ I G����IS l ( 2/V TO (1 /04 e( - (-// Vic 3 L 7 - CONFIRMATION .BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION \ UNIT PRICE EXTENSION I r I ���� 6 -(?(I/ .., i (---) flp rom(ir( ..,_, (-->g(' \ `1711 .,4 1 r Cara I / ...4 -Now\liimik ,, , .4„ , of 1r '.. /", NAIIik 0 . \-_, , , , C9 t . K At'., :NIA ffo t\.. / Send Invoice To: © ; ,_ _ f it ( UV o(" (-- T--okd j Co .PLEASE INVOICE IN DUPLICATE / DEPARTMENT ACCOUNT PROJECT PROJECT ACCOU■jT I AMOUNT Thdf P AYMENT //G/ - • A/P-VOUCHER CA NO1,3BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER S MADE,PART OK�THE VOUCHER AND EVERY INVOICE AND VOUCHER HAAS T 0 PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HERM.CERT Y y AT THERE IS AN UNOBLIGATED BALANCE IN THI ,APPROP ATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. ,{1 •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. lj •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY fff�� --- SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ' \ ') , t AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 26685 ':, OFFICE COPY