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City ®f Carmel CERTIFICATE NO.0031201550020
PURCHASE ORDER NUMBER
w ' FEDERAL EXCISE TAX EXEMPT L- /') ( n
35-60000972 J t.li
ONE CIVIC SQUARE ` THIS NUMBER MUST APPEAR ON INVOICES.NP
CARMEL, INDIANA 46032-2584 / 1• VOUCHER, DELIVERY MEMO, PACKING SLIPS,
t it SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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-P0 �-.O> 30 LI TO CO C n D/II,L eVe,\poi's.Lc0t
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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-ceskiVn1 4-C06/ N, 0n1h( vents 7-o}aN = ik 13ID-5
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 CERTIF, THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI 0 SUF ICIEST TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
Y
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / -
-
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELU.•
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 317 6 3 OFFICE COPY