HomeMy WebLinkAbout20022 Blue Heron Publications LLC INDIANA RETAIL TAX EXEMPT PAGE
® II �� � CERTIFICATE NO.003120155 002 0 CIt'y C/ Jl PURCHASE ORDER NUMBER
of FEDERAL EXCISE TAX EXEMPT �f �
35-60000972 �7(
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
N 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
,%.Jeri/ Al oei i�a ix.)r
13 I LQ-_ 1-4 -zoo p I i -r ?o,u a& g/ ,..6//:2 b // 2446
VENDOR p2 12? Co) I �7,l(Z.{i 4 ' SHIP /02497-0 cal-(0 7 1"-i 14ar
TO
:::r'6 7)9-,3i pi%5 ,v I/'ol.,)' efZ ��33
CONFIRMATION BLANKET CONTRAST ''��/nJJ�II i PAYMENT
TT ERMS FREIGHT
o. M c-.3 2 T
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
,+ DUB/,vim if/0,?qg Ce.)
00 _... 7 t1 g R moo,.,_
l')4 wit• %
• .°°.�' ` .Niok
7! a
♦ Y °. t :,
ir n '
°•
° � = ems °'
\x ,
MR
•• f
vA 0)41
Send Invoice Ta -
•
4'., 0,77
10 //
o aq {(
3/abl
,, • ,eo,CcsH/f& -7�'f
ay-,g _—,0 4/6oM 4 la qi, a%
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ' ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
io,-.0 3 4/3 �GO 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. f......), _d_dj.,•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. f
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY )
SHIPPING LABELS. /T /� �/� G��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE X (lam //✓l /i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ..
20022 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY