26354 CDW Government City of Carmel CERTIFICATE NO. 03120X55002 0 PAGE L�
PURCHASE RDER/IUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 �-L 31
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, MP
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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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS J
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QUANTITY UNIT OF MEASURE d DESCRIPTION UNIT PRICE *4EXTENSION• 11
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Send Invoice To: 9 h 1 7 r i m t'/ in c
's.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
l )2 10 3 0/ PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY^ THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS AP PRIAT ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. r.�
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 Tf• E X/_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. C
DOCUMENT CONTROL NO. 26 CLERK TREASURER 54 OFFICE COPY