26369 Dell Marketing LPCity of Carmel `
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ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
OF CARMEL- 1997
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY- .MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO,
VENDOR NO.
DESCRIPTION
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•
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
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OUANTITY I UNIT OF MEASURE
7 ^' ;DESCPIPTIONr
UNIT PRICE
. EXTENSION'S) '
PIP
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Send Invoice to. 5:4/ 02l('/lress - _
PLEASE INVOICE IN DUPLICATE
1-1-13 IV rM . „
701 7Ite4
tin/ 7,;115-4.71')—
11-1171911 .w
DEPARTMENT
402
ACCOUNT '
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR 014 ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WfrH CHAPTER SS, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO'I�
DOCUMENT CONTROL NO. 26369
•
v2
ORDERED BY
PAYMENT
- ALP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
NUMBER i5 MADE A PART OF THE VOU9HER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREB - TIFY THAT THERE 10 AN IJNOBLIGATED BA COJN-,
7H1 - 'PRO'RIATION SUFFICIENT TO PAY FOR THE-:cc1 RDER.
•
CLERK - TREASURER
OFFICE COPY P .