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�/��y� A INDIANA RETAIL TAX EXEMPT PAGE ` •,� \ .iy ® ' Carmel CERTIFICATE NO.003120155 002 0 y y of ��CCC a e11111 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 24520 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 1112612013 —moo `_ Graybar Carmel Fire Department SHIP 31 First Avenue NW VENDOR TO 12431 Collections Center Drive Carmel, IN 46032 Chicago, IL 606932431 ' ' (317)5712622 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT ` QUANTITY UNIT OF,ME4URE DESCRIPTION UNIT PRICE EXTENSION Account 102-631M0 ' 1 Each Per Attached Quote 218689974 $2,953.71 $2,953.71 Sub Total: $2,953.71 (fSSis v CA 41' td . * * a $ + * .., ii#1111 :. ,. 5� rr,,pp Send Invoice To: 0 o m. ©O - Or Cannel Fire Department 31 First Avenue NW Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Fire Department PAYMENT $2.95a71 • 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 HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •GO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY \ - '5 c-S, ,ci-/ •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LRBELU. Nri\ / •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE - __��-o�_ moo,,✓ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V V 2 4 J Z O CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY