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24558 National Business Furniture CityA INDIANA RETAIL TAX EXEMPT PAGE of Carmel CERTIFICATE NO.003120155 002 0 OR CIE R — ,a ��CC PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 24.E 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 111712014 S --•� � _'>,, - t'--vS National Business Furniture Cannel Fire Department VENDOR SHIP 2 Carmel Civic Square . TO P.O. Box 514052 Cannel, IN 46032 Milwaukee,WI 53203 (317)5712622 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT ` ` QUANTITY UNIT OF MEASURE e DESCRIPTION UNIT PRICE EXTENSION Account 102-630.00 3 Each Item 30805 Lateral File Drawer- Blk. $395.00 $1,185.00 1 Each Item#11998 L Desk Left Return $895.00 $885.00 1 Each Item#11997 L Desk Right Return r $895.00 $895.00 1 Each Shipping f f/� -4r. $393.00 $393.00 0 5 ©� /l Sub Total: $3,388.00 ,� w ii ` :\ jP14 -I: * \ �rr ° 40 Send Invoice To: UC �L Ars. Cannel Fire Department )J 2 Cannel Civic Square Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Fire Department PAYMENT $336800 • 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 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY -4�� a \\V�d1L/ SHIPPING LABELS. `�,� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE pia•,(- .- - S\ a..(' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. , 24558 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY