26425 Office Depot C Carmel INDIANA RETAIL TAX EXEMPT PAGE I AI
1 1 11 1 f Carmel CERTIFICATE NO. O. 003120155 002 0 R
PURCHASE ORDRD
ER NUMBER
FEDERAL EXCISE TAX EXEMPT ZbyzS
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA46032 -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
12/Z411
f CD SHIP C Cc.1NC) CR. tl�
VENDOR
TO S
C l
G..vv -c_) SO `1Z 3Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURES DESCRIPTION UNIT PRICE EXTENSION
1 Ur' s`70 3'P)' 4 4F 4L.9S,
Wit, 32 G Ss 31 99 3
U L
21. 39 14.39
1 U•?c -(!1'S )N i r
C}1 L 22.95 ZZ.99
j, t 3. 2 .3
tt
9.5g
Z Uri}' rte- o ...c ..5 yam ''fuel q
Send Invoice To: •+l U 66 4'9c,
IS
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
)2 3-'Z PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HASA HE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS IHEREBYCE -T FY THAT THERE IS AN UN•BLIGATED BALANCE IN
SHIP REPAID. THIS APPROP A 7•. 'fl FE IC IENT TO P. POR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELU. A
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE �J'.r'J—��`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 4 2 5 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY