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26581 Regal Printing
INDIANA RETAIL TAX EXEMPT PAGE City ®f Cairrniel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 192f5. .I 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION /2 ,.1/-1-2-- #_,b--4-(_ Pi,i 1--, at his 4 M. s i-t•)el- C/< n ,, / SHIP 670 I�O/G3 VENDOR a'J 611/1- i e. ', g__ TO c, 1-7 (�j Co4'✓ C , ?%i4) I4(A 13.--- CONFIRMATION BLAN T CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Pr, , �-,rl 41- 7(4bd, ✓1 s 1 1,Y1 Cd-n -/ud4-- 2D 4,OS' 69!'d1ri 1 Imo" I<, © ,,I` , ,6-0 i60,4 's 07,-17-41/)..-feS t /^ .... ,\\//,,,›s .-,,„, ‘'‘,..'`,./)/A a • / 5 t e ki,,, * : ,.-. � F ,I \ P iii, , „ tS, 6. A Pilvl 11/ iiii; '49 : , ,„,,,, i ,., : ) $ , , .. ,,,..„tillik C?,, , ;7, -I.' • 4,.) s , ���- �' ,, •..... - Send Invoice To: _ mow, cla - C',` ;0402-4.112-- °S� AL diU/C ON' / �u PLEASE INVOICE IN DUPLICATE 1 E� �' : IsOlT�r is DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 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 H- BY CERTIFY THAT THE E IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. T j PPROP IATION SUFFI TENT TO PAY FORT E ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / ■ y // SHIPPING LABELU. nn nn - /� - -49 •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE A 'i ', 'l.C_� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I / CLERK-TREASURER DOCUMENT CONTROL NO. 2 6 5 8 1 VENDOR COPY