26699 Bell Technologies C0 INDIANA RETAIL TAX EXEMPT PAGE
ity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE D N
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
'URCHASE ORDER DATE .DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i)cr i//1`)/1 7
«I A P(71\ f . (f ri -RIX
IP eX
VENDOR TO
P ; L) /j
'
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
t ()P -3.-(.--( ('-'0'4-- -)k rk?-ts(c) ic-1/5/\f (596. 0,„....77
1 ., (-±
cio_.,,, , Ai,, , -----,..-------0,., q
o
f
kiN * i (-- ((;) 1 4 A '"` * NI14
* .°1 L * '1 J -{, 1
Send Invoice To:
0 t+i (100-2--(---- - -04"—owff'"
0 j
PLEASE INVOICE IN DUPLICATE
J? o3
DEPARTMENT ACCOUNT' PROJECT PROJECT-ACCOUNT AMOUNT
A4---..... PAYMENT 1/ ///
1�D /r • A/P VOUCHER CAN T BE APPROVED FOR YMENT UNL &S THE PO.
v 7
UMBERS MAD PART O.?HE VOUCHE�AND EVERY IE'(VOICE AND
VOUCHER HA H PROJP SWORN AFF DA\IT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY �RTIFY TTHERE IS AN Uf OB GATED B CANCERN
TH PP OPRIATIoNS FICIENTTOP,YFdRT €A VE DER.
•SHIP REPAID. ( , l 1•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. V\
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY _ 1. n
r L
SHIPPING LABELS. /`/�-
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE '• 7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 6 9 9 OFFICE COPY