24561 National Business Furniture of C sane l INDIANA RETAIL TAX EXEMPT PAGE
Ortyr o,1Lr CERTIFICATE NO.003120155 002 0 \ ��
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 24561
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
2172014 vim. ---..,S
National Business Furniture Cannel Fire Department
VENDOR TOHIP 2 Cannel Civic Square
P.O. Box 514052 Cannel, IN 46032
Milwaukee,WI (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY U IPOF ME MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Account 102-630.00
3 Each Item 58870- Mesh Stack Chair $149.00 $447.00
1 Each Shipping $80.00 $80.00
Sub Total: $507.00
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Send Invoice To. yj- - - - . l t '
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT QF07 00 •
• 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.O.SHIPMENTS CANNOT BE ACCEPTED. \\ +
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �.`�-12 , a- . �'C�yp4 J
V
SHIPPING LABELS. `\1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \�V--c.its,cV .. �0.�/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO VVV
L 4 0 b 1 CLERK-TREASURER 1
DOCUMENT CONTROL NO. OFFICE COPY