26630 Grainger City ®f� /,j,fe INDIANA RETAIL TAX EXEMPT PAGE
lJlr C CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER_
FEDERAL EXCISE TAX EXEMPT 26630
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,1
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
1 211 81201 2
Grainger Carmel Communication Center
VENDOR SHIP 31 9stAve NW
Dept.828999755 TO Carmel, IN 46032
Palatine, IL 60038 (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43409.00
•
6 Each LED Tight bulb 6FXU1 $25.11 $150.66
Sub Total: $150.66
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3 MSend Invoice To:
Carmel Communication Center
•
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications - PAYMENT $150.66
• A/P 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 APPRONrTION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. / F
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. i
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY .4
® Director
SHIPPING LABELS. Director
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26630 OFFICE COPY