26664 Pitney Bowes C ity INDIANA RETAIL TAX EXEMPT PAGE
�� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
DcrmrnfL-wr ` � ) FEDERAL EXCE TAX EXEMPT
���'c/ 35-60000972 ( l
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR / j J " SHIP
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CONFIRMATION BLANKET CONTRACT 1 l PAYMENT TERMS FREIGHT
V.
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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70_5; 5,9e o
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776) • 3 9477/-1,
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4 9•..:;401 ; -00
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
joyemaz 4,2, :
Y -yo2/OC7 PAYMENT OS 300 • 0 a
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
01107 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:•" ' - --- ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O:D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
LABELS.
tliAPP-
SHIPPING
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _ ' /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
6 6 6 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY