HomeMy WebLinkAbout26743 Leach and Russell O• INDIANA RETAIL TAX EXEMPT I
I or�� �� �� �� CERTIFICATE NO.003120155 002 0 PAGE. '
PURCHASE ORDER NUMBER
•
%FEDERAL EXCISE TAX EXEMPT b72)3
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.
1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR .9)5\ `-, C,`1C SHIP
TO 0- j'a" C J t c Sn.c,S-c-
sL,Q.rs ZN 4‘>°3g
CONFIRMATION BLANKET CONTRACT • PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASUURRE DESCRIPTION \ UNIT PRICE EXTENSION
•
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/IN -4 : * \,,,,„j` .„ ,.
�E ' ,�$t t� $ � Y 4 4 '
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Send Invoice To: . ` r �
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
)2° S -5–C:9 PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
ti_ VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID '. THIS APPROP IQZJION,SUFFICIENT TO PAY FOR THE ABOVE ORDER. - I
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. 0%/
ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL -
SHIPPING LABELS. / `.'';1 i- L-' •0.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - -
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Q��� ®3 CLERK-TREASURER
I DOCUMENT CONTROL NO. OFFICE COPY