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i O f �°�I�JS r m e 1 CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 91WACi ,'
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/12f2O93
OPPice Depot Carmel Police Department
SHIP
VENDOR TO 3 Civic Squalrra
P.O. Bolt 633211 Cannel, IN 46032
Cincinnati. OH 45263. 299 39716 92559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44 .E
1 Each chair $269.9 $269.99
Sub Total: $269.99
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Sen°d�,l'nvoicsTo: ,,/ i
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Camel Police Department
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f Attn:Teresa Anderson
JP Civic 8quai
Carmel IN 46032- PLEASE INVOICE IN DUPLICATE
F ..`: DEPARTMENT „ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT r .
, L� PAYMENT `' r
% . • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. a
,k#n a • NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND ..r
A.•-,�r - � VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
! r * • I HEREBY CERTIF W SAT THERE IS AN UNOBLIGATED BALANCE IN `
t f:bj SHIPPING INSTRUCTIONS .•THIS A RI d SUFFICIENT TO,PArFOR THE ABOVE ORDER.
� SHIP REPAID. � . f r j' •
Ct0 D SHIPMENTS CANNOT BE ACCEPTED. I •
PURCHASE'ORDER NUMBER MUST APPEAR ON ALL
ORDERED BY ✓/
SHIPPING LABELS .
14 THIS ORDER.ISSUEDDIN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f9 Iv qQ PAlrwn „r '
Ir AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V !_, q4 .!+
1 { :e.. 2 5 1 4 9 CLERK-TREASURER ,, + <.
DOCUMENT CONTROL NO.`" OFFICE COPY i
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