HomeMy WebLinkAbout25286 Keller Macaluso City• 4 INDIANA RETAIL TAX EXEMPT PAGE
of Carmel r (�� CERTIFICATE NO.003120155 002 0
111111 1/2 Os11l PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2SZ gto
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
1.2-11 1I-
u (• , v• S '4 ' n
VENDOR SHIP �e \- OC' tid"5,td/i-t. lit
TO
Y\1e{ Marn \uso LAX__
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION '
` �r S
41 r 42 .. Q
- , V`no � ;r ` �,
1..ry°90 5 I Oi 1.• C R .1
ISA
04I % \ I
\ • e6i-N0
,
• Neter' -Ilk 010 111
Send Invoice To: _• \
/ '5Ji t
14 I`1000 •o°
■
PLEASE INVOICE IN DUPLICATE 7.0 -S-0 •
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 APPROPRIATIOISUFFICIENT TO PAY FOR THE ABOVE ORDER.�
•SHIP REPAID. - p
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J 7 -- v r
•PURCHASE
PINGL LABELS.
NUMBER MUST APPEAR ON ALL 1//�%
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25286 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
CO V N W W W
V
0 0 0 0 0
O - a a F+ 0 W 0
Ro O O fro
n v R° RD n v ,�.
N J - - o N N <
c
n 5 0 o n n o
n O W lD O O a
v v C C
ro rD co .. ..
3 J
cu
Q
< <
co co
0) 0)
un
..
cn r r r r
In O J O O O O O
n
0) '. D) D) NJ NJ F-
n r n n cp Co -
fD m (7D9 rp VS VI l/) 0
rD .. N -O -O
O a
�n 9 '* rn j' j' ]'
pQ Q 00 W ff0
rD D) CD r r r
a Q 7 0) 0) Cu
of O N CD CD al
- rt = m m m
u. tn cn
O O O tU 91 G)
.
J
CD CD fD
3 ,J1 CA
Z
0
m —
0) n
3 w
a_
N CD CD
J
Q
rDC
2
m
Q a_ Q
V W W <CD CD CD
< < H
W 0) - - (D (D (D Cl
n N N O O O
.0 0 9 . -o -o -0 1/44
a 0)) N 0) a a- Q Q O
3
.n. N fD m o o
O 0 - 0 0 O Q Q Q
N N N
N J J
Q 0 _ _
N O 0
CD 0_ 0) 0) 0 0 0
3' 0 0 0
<' <
< a_ a_ 3 3 3
F ID D D V
m = = 0 0 0
=•- = = m rCD m
as 3 3 3
rD ro CD
7 - 7
V N In
VT in in in in IA in
N _hi NJ - - NJ
O O O O O O O
O O O O O O O
0 0 0 0 0 0 0