31835 Hewlett Packard SA,A, INDIANA RETAIL TAX EXEMPT PAGE
LI1 ;3®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER •
I JJ FEDERAL EXCISE
TAX EXEMPT 4 '•%\'c 7 c
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 OFACCOUNTS-FOR-CITY-OF'CARMEL-=1999 - - --.....____`
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
k4' JCS. Coy? SHIP be I T /)v
I' VENDOR . "7,20-4- CO\`ce _ nn TO `_ ` . C7f LYE soks_2-"1 11 __
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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' OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To. v' U" �� 41 41(0I4
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT if ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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- PAYMENT
• .A/P 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
•SHIP REPAID. '
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. 4'0.
ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL -
SHIPPING LABELS. '
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE CITY. tGZw)EIL1Z-.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I CLERK-TREASURER
DOCUMENT CONTROL NO. 31835 OFFICE COPY
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