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CiQQma RETAIL PACE ` 41 4 y o Car me l CERTIFICATE NO. 002 0 PURCHASE ORDE R
NUMBER
FEDERAL EXCISE TAX EXEMPT < Z
1 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.
I 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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VENDOR ICS--, `-�1 1��� c �✓i..1P� 1J�-p 11•�
SHIP
TO /Jn,� Cr,,C Su.
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1Zitu) 13 ST,,, ock_ __I^.1�0s Q sQ 1
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Send Invoice To:
•
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
12. 5 24 Z\ PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTI Y THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROP TION U FICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ^ ��•//[/�'
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 11y f4_�{.�I/Lq�C, _�l
SHIPPING LABELS. /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31672. OFFICE COPY