HomeMy WebLinkAbout26702 Neogov rV -''. INDIANA RETAIL TAX EXEMPT PAGE ) Or I
ity C(4 r:ei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2..670?__
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12-1Z-.)( IZ
VENDOR aa.z-, S i\ � c -) SHIP {\} 0, : .4,,--,c....., 7RCS-Avce
TO 2.0°°
LNG- C;v;-. Si
- -.l se ....,(,) ; Cpl Ci 0Z�S
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
) S te,
)
Usty 1,:1 c. SQ,
,/,04011.„0- (if 0 It A .....,,,
' /4,,, ,,,,...."...-..6.?4+,4 ","---. ,
40,00 IMillk■
i :0 y )11°., 6'0% Ilk'
. _ �
M s•
, 4 '',... .c-.1"--,,„:"------' - , --e, : IS '
r
•.
.. \., A, , .** (The S '
.° --.' IS
,f�j ¢ i,>
Send Invoice To: 1-f ,- '
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
12.31 2119— 03 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 IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. "4 ��
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 , . TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 2 6 7 0 2 CLERK-TREASURER
OFFICE COPY