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26682 Steven R. Lloyd INDIANA RETAIL TAX EXEMPT PAGE City of C a ana l CERTIFICATE NO.003120155 002 0 PURCHASE ORDE N ER Y vs li P FEDERAL EXCISE TAX EXEMPT 35-60000972 A V 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 ZC() (CO ' 0c ?.. `YV c Ni\Pc � . , / Pi*Ls-teoP I - f SHIP VENDOR �6q 1 i2 U TO s � , A • X55 0 au( s., 0 . . . ups re ( i ( -q�{ wyc, ; 07 ��0 6 CONFIRMATION BLANKET CONTRACT PAYME T TERMS - FREIGHT . .QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 6 i 00 1) ('-' ^-poLAcj\, i 0 ■ dE X). 1 1A._5, �� �° r ?0.--,-z.. . 1..v- 5 (113:40„,______, , (. ,:, . lon ■ :1, t.;'4. '' s• 4 �y tl tt *\{ " 0.z. �1, / .-,A'.4.„..,S. ,', \ % 1-----.-- ----- -4,-,---k cf,„ : i . . _ova � \".+ Send Invoice To: o 0_. ,, • PLEASE INVOICE IN DUPLICATE . • DEPARTMENT ' / 1 ACCOUNT PROJECT PROJECT ACCOUNT . AMOUNT }�0 \ L j( (i, 6- A PAYMENT I \ COO. r • •NP VOUCHER CANNOT BE APPROVED FOR PAYM TE 4 THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND V CHEOU F--.-..IA...-'.1-7-1E-PROPER WORN AFFIDAVIT ATTACHED. (I HEREBY CERTIFY T AT ER IS AN , OBLIGATED BALANCE IN SHIPPING INSTRUCTIONS THIS APPRO•I: •-ON: FFICIE T PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /� \ •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /, I SHIPPING LABELS. V 'I •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �/(� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. � ` Q CLERK-TREASURER DOCUMENT CONTROL NO. v V OFFICE COPY