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y Carmel PURCHASE 6 RDE NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 r�`, Z
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, ALP
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
DeiI Y%ar thi CN 711 arm
VENDOR nb g5�2s,Y, Dr' SHIP 71 r- Cl VI 2 r/ r
LL l /A) 46632- 632
t.� COP I TO eery_ m 1
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CONFIRMATION BLANKET CONTRACT I PAYMENT TERMS FREIGHT 1 t
E 1 Rf I/
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 4 N EXTENSION V
3a6St�d vI• i »rfv w� �i n* fie �1 2� 3y ,41-1,0240 78
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0
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Send Invoice To: �Jf II
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
OD 02— 6 -2- b 2.-- 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'
THIS APP •RI ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 44
PURCHASE ORDER NUMBER MUST APPEAR ON ALL I
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE J r ,4 1 r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO CJ
a
C LERK TREASURER
DOCUMENT CONTROL NO. 2 5 8 56 OFFICE COPY, 4