26666 Verizon Wireless ®� Carmel INDIANA RETAIL TAX EXEMPT PAGE
C i y CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
t T k� �'-'.��,(i _ -1 FEDERAL EXCISE TAX EXEMPT / �D
C- �// �l-� /'TZ!J 35-60000972 6
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 A;COUNTS FOR CITY OF CARMEL- 1997
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'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9
VENDOR 4,19-1 a 1/ / 0 SHIP
TO
024/502. , /1.r�?
/(1.x,4_ / , ,27-74 7,3 —/a7 44
CONFIRMATION BLANKET /(CONTRACT n PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
e..19i2i.e.A.i `/ •
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'76 5, r / 1 , -. /-:� � ` 5- 57007 1.. S 7a 9
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Send Invoice To: '-.�. '
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
67/e11411-1.
c O? h/'3o c/jop PAYMENT e'I.35• 07
/ • NP 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,hPPROPRIATION SUF TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. \\
•C:O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 4111011°,,_
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE — . v/f J/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. OF .
�6 6 6 7 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY