26401 White's Ace Hardware •
C0 INDIANA RETAIL TAX EXEMPT PAGE
ity. :of Carmel CERTIFICATE NO 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26401
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
12/19/12 . .
White ' s Ace Hardware SHIP City of Carmel
VENDOR 731 S . Rangeline Road TO Community ko1k ±ons Dept.
Carmel, IN 46032 One Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Office Supply Containers - 15 containers Aggifkgn
Invoice #2370120 $125 .60
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Send Invoice To: w i
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Dept. 1203 - A/C4230200 x
$125 .60
PLEASE INVOICE IN DUPLICATE
DEPARTMENT. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. �I nn Ll /y e I' �,//��� 4keL .
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY AIWA 3. �ee— `I t tiAe
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE D 1 v. 0 F Cf)mmU 1t lC Q GC11---8 Vl3
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Q��®� CLERK-TREASURER
DOCUMENT CONTROL NO. 2 OFFICE COPY