26643 Paper-Lite Division of Mathes Assoc, Inc. �•- INDIANA RETAIL TAX EXEMPT PAGE
City. of Carm.e i CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
. FEDERAL EXCISE TAX EXEMPT 26643
35-60000972
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
1 211 91201 2 Laserfiche Scanner Support
Paper-Life.Divison of Mathes Assoc., Inc. Carmel Communications
Terry Crockett
VENDOR SHIP
9799 Wood Valley Drive To 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
(39 7)371-2567 .
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 43-595.01
8 Each Laserfiche scanner support $150.00 $1,200.00
Sub Total: $1,200.00
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Send Invoice To:
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City of Carmel
Terry Crockett '
3 Civic Square ,
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT $9,200.00
• 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 ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BYE
_
•PURCHASE ORDER NUMBER.MUST APPEAR ON ALL `\ / "`/
SHIPPING LABELS. \ / i actor 4
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 . TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
X 6 6 4 3 CLERK-TREASURER i
DOCUMENT CONTROL NO. OFFICE COPY