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25388 Rimage Corporation
0 INDIANA RETAIL TAX EXEMPT PAGE City o `I, 1arme1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 253 35-60000972 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 81612013 ' flimago Corporation , 1 Cannel Police Department VENDOR SHIP 3 Civic Square 7725 Washington Avenue South Cannel, IN 48032 Minneapolis, MN 55439 (317)571-2554 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 422.00 5 Each, DVD-R Everest White 2002472 $41.67 $208.35 Sub Total: $208.35 11110 0 c4 a _ O. o%. *** 0,,,,,i& . * : a 4% : ris . 4 P'Q K ©a - Send Invoice To jib ill' Cannel Police Department Attn: Teresa Anderson 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE • DEPARTMENT _yyy ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. (c y C-57> PAYMENT $208.35 v • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND ' VOUCHER H THE PROPER SWORN AFF VIT'ATTACHED. SHIPPING INSTRUCTIONS I HEREBY'E TIFY THAT THER UNOBLIGATED BALANCE IN THIS A ' PRIATION S P1 IENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chlaf of Polka AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I 25388 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY O. 1