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26684 Word Systems Inc. • 1► INDIANA RETAIL TAX EXEMPT ^PAGE T \�// ®� Carmel CERTIFICATE NO.003120155 002 0 ' PURCH E RD R N AABER FEDERAL EXCISE TAX EXEMPT l,. ONE CIVIC SQUARE 35 60000972 CCC��i� `` I •CARMEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,NP FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION )( � 00 / • . . (j00- af2.(tW ----(--)\VENDOR O I N_v.- b SHIP / r-^ TO ✓7 (��/ .1- c I5. �� q60/6 5� X60� a CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT • QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRIG EXTENSION 1 • i . ORS - CCA1)W */ fi cEG , _ ,7((c),.___ __,,,,,___,, - ‘ e-(- . cV*- of\.. Ai-/, `-,.\,- - 0,,j, 1 f-ro) ., ,,T-p . , - , A.... . .-- .,_..N . . p ....., q v.6\ \...Ach _, , , . to.. \ . h\., N o � d I ,A a • 011Ik cll.' , (I . 0 St �� •off S • Send Invoice To: u Rlr •© � ir ' 41" . • • • PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I • e NT 0 ■ 3 o 2 PAYMENT /} 1 • NP VOUCHER CANNOT ( ) (/ OT BE AP�ROVED OR PA E u LESS THE P.O. NUMBER IS MADE A PART OF THE VOOI�CHER AND EVERY INVOICE AND SHIPPING INSTRUCTIONS • V 1•leRER HA THE PRO' R WO AFFIDAVIT ATTACHED. HEREBY CER FY T • THE AS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPRO0-IATI• SUFFICI T TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. '' , •-PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. 21: •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE "- k, AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. �(/ • • • • DOCUMENT CONTROL NO 26684 iCLER FIC EASURER ,'O.!,. . ,COPY