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26366 Cadre Computer O IRTIFICA RETAIL TAX EXEMPT PAGE 1111111 ®f C ar ei CERTIFICATE NOO 003120155 155 00 002 0 PURCHASE RDER UMBER FEDERAL EXCISE TAX EXEMPT ■I 35- 60000972 0- 34 4 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 OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3 5 3 1 12 n Fr re nviv a ,/,rizt I r� r4 6�'e.1�� r a C 4 r m eC VENDOR .-S T E S'9' _�1' JJ SHIP 9 ea C�(�.,•, bo' �/R AP r TO ir) r rnnoh, 0{t" 1 /5 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT ,i e, i. 't'! "ETC QUANTITY UNIT OF MEASURE DESCRIPTION 4 n UNIT PRICE I EXTENSION 1 U p 7r a �e 4' ''''S i 9 1 r, G T (f rrm go 4.7 3,2 no 00 D f y :tu a t# j r I Neik Send Invoice To: r »ll� /�1 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT I AMOUNT 6 3i O- PAYMENT 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 AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APP PRIATION SUFFICIENT PAV FOR THE ABOVE ORDER. SHIP REPAID. J C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITL ey r AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. t� "J CLERK-TREASURER- s DOCUMENT CONTROL NO. 26366 OFFICE COPY