101197 VAN AUSDALL & FARRAR •
v. : INDIANA RETAIL TAX EXEMPT Page 1 of 1
Lity CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
are
FEDERAL EXCISE TAX EXEMPT 101197 •
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
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
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• 12/20/201776
366767 -Copier Service
VAN AUSDALL&FARRAR Clerk-Treasurer's Office
- VENDOR PO BOX 713683 . - SHIP I Civic Square
TO Carmel,:IN:46032-.. •
CINCINNATI, OH 45271--3683
PURCHASE ID BLANKET CONTRACT :. - PAYMENT TERMS
FREIGHT
- .22010 . .
.QUANTITY : UNIT OF MEASURE - : DESCRIPTION. UNIT PRICE EXTENSION :
Department 1701 Fund: 101 General Fund
Account:-43-530.04
- :1 Each:• . : : Copier Service : - • • : . $800.00 $800.00
::- Sub Total . . $800.00 .
•
•
CA ke
r
•
Send Invoice. To: . : vrsfi ..
Clerk-Treasurer's:Office •.
1:Civic Square. . 'N/Nt 1:11PCC' — . .
Carmel,IN 46032-
• PLEASE INVOICE IN DUPLICATE.
DEPARTMENT : : . ACCOUNT:. PROJECT PROJECT ACCOUNT . AMOUNT.
:PAYMENT $800.00•
::. . .
SHIPPING INSTRUCTIONS 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
*SHIP PREPAID. AFFIDAVIT:ATTACHED:THEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN: . .
COD SHIPMENT CANNOT BE ACCEPTED. • THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
- -
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
DianneWalthall
TITLE - " : Director of Financial Reporting
CONTROL NO. 7 CLERK-TREASURER