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' City of Carmel CERTIFICATE RETAIL TAX EXEMPT
NO.003120155 002 0
PURCHASE ORDER NUMBER
0 e79/9/et/971/7 Pi: Ma) FEDERAL EXCISE TAX EXEMPT
35-60000972 0q553/
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
j of - v04,414
VENDOR SHIP
0. Aex633 -// TO
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY i UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE 1 EXTENSION
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Send Invoice To:
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. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
AQ.y.aktte c: oq Oto - &9800 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 ••-l'HERESYCERTIFY-THAT THERE IS AN UNOBLIGATED BALANCE IN
C THIS APPROPRIATION SUEEICIE CPAY FOR THCABOVE•RDER.
•SHIP REPAID
•
COD.SHIPMENTS CANNOT BE ACCEPTED
ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .1 i 7 littth-M-e-ei
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
AO (1---
, 25331 . CLERK-TREASURER .
DOCUMENT CONTROL NO. OFFICE COPY