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CERTIFICATE NO.003120155 002 0
���. "k;� �,t.., i;� `' i , , PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT
, apt': . . 35-60000972 267 tom:
r ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES A/P-
�} , '"CARMEL, INDIANA 46032-2554 VOUCHER, DELIVERY MEMO; PACKING'SLIP$;
..,i •,.r SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED,BY`STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 r'
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION t .= z'k
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APico®spot �. Carm l Ponca Dapartmont
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r VENDOR <'. TO 3 Civic 8qusro
: ^.".,',!4 P.O. Bolt 633211 Carnal, IN 46032
Cincinnati. OH 462633211 (3171 671-2659
CONFIRMATION BLANKET CONTRACT } PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE ' DESCRIPTION UNIT PRICE EXTENSION
Account 42490.!.7
1 Each Adjustable keyboard Trey $207.00 $207.99
Sub Total: $207.99
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Carmel Police Department
Attn:Tor sa Anderson
• 3 Civic Squaw i
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT \ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. Q ;,,,1
�I PAYMENT $207.99
• 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/H T/'THERE IS AN UNOBLIGATED BALANCE IN
■" THIS APPROP IATImN UFFICIENT T•,PAY FOR THE ABOVE ORDER.
•SHIP+REPAID. //g
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / //
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY U it�SHIPPING LABELS•THIS ORDER ISUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
i AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I 25750 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY