HomeMy WebLinkAbout31617 Bell TEchlogix CCityy //��y INDIANA RETAIL TAX EXEMPT PAGE
i II \u ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
IILL y �/ 1l FEDERAL EXCISE TAX EXEMPT 3/ ( ,, 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.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
/ tobrG / _
$ELL icc 11.ofrt 11.4 drocE�c I�
VENDOR '/*' , LOS l eftrlf/h• s1 • SHIP
/� I OF �.1}�/�t�1�L/.
l,v TO bt,
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
�. eG J u LL{ a U u min, / i1,rIJ - i ,'w / t,'
(.4.),„/• 7 7 /s00 KY
I Lee �,� �l� ,,�� ? � 'D 4���{.� 16 -74/.3-s
04 -:././44,,,, 0 ve...c: "IN
sio
, , c• . ./.4.
��111_�L.`-,� /�I. �' ,-fug -�0 ''• (• ..... o4 JP-* • 6 '32 • cal
Send Invoice To:a/U di lY Cr' OWLMe 1 M e•G
6n Ott), � 4.'35.-••• i i9 /. 43
r
PLEASE INVOICE IN DUPLICATE
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 ISAN UNOBLIGATED BALANCE IN
THIStAPPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. {/
•D.O.D.SHIPMENTS CANNOT BE ACCEPTED. `L U /1 / �� - t-t- - I -
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY //�� YY 11-- ..•� / / /
SHIPPING LABELS. // p/f�j'� v9 /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1 - -]��/J(% u,wti'J'Sitl1 V"'--^'1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31617 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE