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��. ®� Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER.
FEDERAL EXCISE TAX EXEMPT 2(082-C.
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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4k Coc,hra" C I.-hi of Ca,r u)
VENDOR $5O? Cflar ICey Dery SHIP CwnnWIN 12C Ici1WIS Pi".
Zr1ftIQV kpolis 10 Li(92� TO One CAVI S( 2
Ca,► z 4t.0032..
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Sou.n ot 4 I 15h-ii n C 5e-{vlces -RA' 11Y-}5 4 DC51C5w �t5-tYlct bi-eats 0 3 330, v-°
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Send Invoice To: � ��
IZ03 �y3sg003 ,
S 3330 00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
F 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 UFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ,��f///jjj
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /' / /`��'v
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
ORDERED BY / �L^
SHIPPING R ISSUED 'w /- n /) /t(31'� 1 T �',/,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /V' /l t/(/Xn/ " 1�re� 'Y „
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 8 2 5
CLERK-TREASURER I
DOCUMENT CONTROL NO. OFFICE COPY