26704 Verizon Wireless PAGE
C ti \ ®/� Carmel INDIANA RETAIL TAX EXEMPT 1 JRD l
�Jl" CERTIFICATE NO. TAX EXEMPT PT 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT al)70 Ll
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
CS. ZJN .. 1 SeISLSS C/1( 1 CVr1C\
SHIP AA N: __ e./ 4�.1K"
VENDOR „ J J
TO �NQ- C'\ti 1 - S�'l
-
� .V,.,Q) , -TES `1��3Z_
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE - DESCRIPTION UNIT PRICE EXTENSION
U 1 S
-
I CJ '
N
, ., C .
4
32z - 2)I ,
a \I °
4 \I;
6) 4 :1 i *
\fi ° a. t4..
AIL. •• ;k 041:
Send Invoice To: '�� i i
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
)7D3 141 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 THAVHER�E IN UNOBLIGATED BALANCE IN
THIS APPROPRIATION CJENT TO PAY FOR THE A:O'E ORDER.
•SHIP REPAID. - _
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. '/ - - , Pr •
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
1 w
SHIPPING LABELS. I
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE '� /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26704 OFFICE COPY