27336 Workplace Solutions C o f Carmel INDIANA RETAIL TAX EXEMPT PAGE
1 11 E of CERTIFICATE NO. O. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT a 7 3 3
35- 60000972 a
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, !VP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
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
,5l07 3l/ 2 Asr4 ENDOR I/..J Or1(pIQ.CR Jo.uf,o s SHIP C,CI-,!'"/'n Cr �•-D° I
w �IiSeum flVCt. TO I �1V10 SCt_1/44"e' -1- Wa_vi n e i 10 4/0 ge 5' 0 ar ell e-1 L N• `l b 0 3.
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT T PRICE EXTENSION
re-ter -ntt Quofe J
?7 1650; s ki Ad h Jedr1G NIlas+ s7 6472. 85
5 e Cipi1/4 4aw
l �-s 0 200 .00
b a 00•O O
a-'o coq
0 ere,nc Q o 0 3 5 8 �i 3 �•9 3 ..0, 4 54,-,e c.6h )547-acH
1 t
S v
a
k 60
Send Invoice To: j Affir-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
/3o 6ii 0 PAYMENT 0S/• 7i
AfP 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 APPROPRIATION T
OF F
AV SUFFICIENT TO PAY ABOVE ORDER
SHIP REPAID. O AYY FOR
•C.0.D. SHIPMENTS' CANNOT BE ACCEPTED. n
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY A
SHIPPINGLABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ��A 1(.V J
14 L
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
273 3 6 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY