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26705 Hylant Group A - INDIANA RETAIL TAX EXEMPT PAGE 4� C i t y ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2J L 7,)s- 35-60000972 G' 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 Gi-JV C)-/ ;1 I��SML'\ VENDOR C SHIP TN-. �'e�� )��,., c31v— ti\(- C C.S rv.c ) .T5 Ll1 J 3Z CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF\MEASURE I DESCRIPTION UNIT PRICE EXTENSION ' U►vtT G-NO7a) ti5 VS.GNC-- CJi T 11 Z )'7 JL9 . 5J) frip ito %°° • *I, 0 -„ losi . ki41 Ce, ,• *' i ea t : ,4 N .4,ik, „t : „, ,,,,,, . . , ,, ok„,: ,,, 0„. __II i . ,, ... r- 'n4-r---71A� i ''.4140- <", -------- 0 >•10) ' 'Illr'' (c3 R9 © -f f . ---) .- ?...:7 ‘...)boi . Sc.3 Send Invoice To: -:'w f ,, .., ______________ • _ _0(. ..._PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT I Z�5 2175 PAYMENT • 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 HERE ISJDI UNOBLIGATED BALANCE IN THIS APPROPRIATION CENT •PAY FOR THE ABI) E ORDER. •SHIP REPAID. L< < •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. I - , / t •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELU. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 Q �O� CLERK-TREASURER DOCUMENT CONTROL NO. 26705 OFFICE COPY