26679Office Depot INDIANA RETAIL TAX EXEMPT PAGE
����/// Carmel' CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER EXCISE Depf M 7/l/eN I FEDERAL 35-00 0972 EXEMPT ID�D C�
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
421/10g_
/
VENDOR SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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4c, ciretdce12),
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4-17,z-
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Send Invoice To: ., ,
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
gelvact& OF le/o20 — 30000• PAYMENT 1#dOf•IV
��,/f o- ,o,/���� �/),. • NUNP MBER VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
(J(jf� �.(.p_,(I�JG ,'/�G(�(�.� 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
T MISAPPROPRIATION 6 ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ■1111111_
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. . I
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE iroArk., :L /. ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. if
CLERK-TREASURER
DOCUMENT CONTROL NO. 26679 OFFICE COPY