26707 Staples Advantage ' urry INDIANA RETAIL TAX EXEMPT PAGE ak I •
®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
. FEDERAL EXCISE TAX EXEMPT 2J)7 0
35-60000972
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
)02_36z_
VENDOR <•i V�.�' G SHIP Pi-kJ , __UT 62$-N°S
TO .
L.01 C.0.- c._ St,.
cal yv-c), f_..5:\1 f_..5:\1 11-1/.D-3-Z-.p\
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
• 1 DN 9'1312`5 �G ri„stiN C�Z - 3 3 5-c-,✓ '�399 q.:=\
C.,1 of _ er 1\-» - Nt?.-
0 'n 01-r \'' /$),.14*NlOrlio... ,
` C •® •°•
p oe '-1 s.-.A.,.R• `-4 :
,1,111N. I.P.' -../ qi''., ,of \
.or - ' ' 'zi) : p S,
•
Send Invoice To: .
PLEASE INVOICE IN DUPLICATE
DEPARTMENT. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
l2--'S 12-17 - 0\ 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-PR91ER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • 1 HEREBY CERTIFY WIT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI F ICIENT TO PAY FORTH ROVE ORDER.
•SHIP REPAID. (//j/
d•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY op. �.�� ~/
SHIPPING LABELS.
/ '.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1./ cC
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • •
®� CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY