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26703 Bose, McKinney & Evans "° INDIANA RETAIL TAX EXEMPT PAGE �� \ ®� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT Z L D C J3 35-60000972 ' C_ c-J ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE.I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION )Z1 Z,l)2..... ,Ds e.; plc-K m,Jo -, N_5 C., av-,„„,.) SHIP t� S 1 v O VENDOR 11\ M_1N J* C:tfc ) Sv1L a7,...1° _ \ TO c7NC C-t ;L St. \ II CGSr",�-i , �-1 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT • QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION l • • f. qi�eSV1c ;n •Gl7L):\ N Nh L:f • • `0 fin :C . . * •,,I • Tif ' \ u • • Send Invoice To: • q ©0:9' r • PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT \Z. \ 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 THERE IS AN UNOBLIGATED BALANCE IN •-SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE A OVE ORDER. •C.O.D:SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / - - -�"""' • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE • • AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • 0� CLERK-TREASURER • DOCUMENT CONTROL NO. OFFICE COPY