26365 Hewlett Packard 0 INDIANA RETAIL TAX EXEMPT PAGE J
I II, C icy Of Carmel CERTIFICATE NO. 003120155 002 0
PURCHAS ORD RNUMBER
FEDERAL EXCISE TAX EXEMPT ee
35- 60000972 t
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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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OUANTITY UNIT OF MEASURE Q DESCRIPTION 1 UNIT PRICE EXTENSION
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Send Invoice To: 5A if /0 e -fir O t�s�"
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PLEASE INVOICE IN DUPLICATE
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DEPARTMENT ACCOUNT I PROJECT I ,.PROJECT ACCOUNT 1 AMOUNT
17 S Di 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
THIS APP. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY irfr
PURCHASE ORDER NUMBER MUST APPEAR ON ALL f
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1905 1 LE i n
1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I
2 CLERK TREASURER 4
DOCUMENT CONTROL NO. OFFICE COPY