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Approved by State Board of Accounts PURCHASE ORDER -PAYMENT VOUCHER R1 40281 <br />PAID BY Chao No. EXTRA -CURRICULAR ACTIVITIES REPORT <br />AMOUNT C0 RILEY HIGH SCHOOL Date 7 - o�/-off ,20 <br />ONE WILDCAT WAY <br />n 1902 S. FELLOWS STREET <br />/ <br />Date 20�/ /1 _ , SOUTH BE , 1'46613 .. <br />PURCHASED OF /�--(y�(.h (iii- /,��d,,,/1'Of/( j <br />ADDRESS <br />DELIVER TO <br />SEND INVOICE TO <br />TO THE TREASURER: The following expense is incurred, payable from theme - r VUU WLX>w T -O? I (,p Account. 0"'WIll <br />NO payment is to be made unless this form is on file with the Treasurer, properly approved and items or service have been received. 'W <br />\ <br />QUANTITY DESCRIPTION UNIT PRICE TOTAL <br />a. . <br />l• L/ �XX� <br />It <br />TAX EXEMPT 740281-03 <br />The So nd Community School Co p. is q political subdivision of the State of Indiana, and is, therefore, not subject to any excise taxes imposed <br />by the edera Government or Sal Tal by the State of Indian . <br />SIGN <br />F CTIVITIES <br />CLAIMANTS <br />SIGNATURE <br />ACTIVITY SPO R OR OFFICIAL <br />P PAL DATE <br />Items priced and rece ve K except as noted <br />DATE , 20 TITLE <br />Form No. SA -1 B <br />VENDOR PURCHASE ORDER NOT AUTHORIZED UNLESS SIGNED AS PRESCRIBED ABOVE <br />