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31863 Bell Techlogix . //��y� INDIANA RETAIL TAX EXEMPT 'PAGE ��� ®� Carmel� (�� ".r �"�'CERTIFICATE NO.003120155 002 0 \�/tvs a 111111 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31863 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 312812014 • Bell Techlogix Street Department VENDOR SHIP 3400 W. 131st Street 4400 West 96th Street TD Carmel, IN 46074 Indianapolis, IN 46268 (317) 733-2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 2201-632.01 2 Each Computers $303.17 $606.34 1 Each Computers $754.57 $754.57 1 Each Computers / - $669.73 $669.73 - �/�/�f��r Sub Total: $2,030.64 � -4't : c al -4 ; lie i ; ' Send Invoice To: 1�O--- -f Ai • Street Department �J J 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $2,030.64 • 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 THI APPROPRIATI N SUFFICIENT T PAY FOR THE ABOVE ORDER. •SHIP REPAID. 4 •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Ate- / /1^--- •PURCHASE ORDER NUMBER MUST APPEAR ON ALL / SHIPPING LABELS. `, /Y •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE w•r 4-4 ', . p'I„ 0, I ' C. 10/, r AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 3 1 8 6 3 A.P.V.LERK-TREASURER DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE