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24566 Black Box Resale City of Carmel INDIANA RETAIL TAX EXEMPT PAGE N.11 I(�/ CERTIFICATE NO.003120155 002 0 �4- N PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 24566 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 2272014 C__.\--1-__ Black Box Resale Cannel Fire Department VENDOR SDS 12-0976 SHIP 2 Cannel Civic Square TO P.O. Box 86 Cannel, IN 46032 Minneapolis, MN 55486 (317)571-2622 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT•OF MEAAU E DESCRIPTION UNIT PRICE EXTENSION Account 102.631.00 1 Each Per Attached Quote##00025830 $900.00 $900.00 Sub Total: $900.00 CA : fro .4 �►I �: p a . %isk cst• loiiip .. . s.o � l'o RI © f Send Invoice To: '4---- f((jj Cannel Fire Department J jj 2 Cannel Civic Square Carmel, IN 46032- • PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT J AMOUNT Cannel Fire Department PAYMENT $900.40 • 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.D.SHIPMENTS CANNOT BE ACCEPTED. / •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY�y\\�., \�S�.�- SHIPPING LABELS. A \ �� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \■_OC1� V_ ` V/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. O 24566 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY