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City Carmel CERTIFICATE NO�0031201550020
PAGE TAX EXEMPT
1l el PURCHASE ORDER NUMBER
'a FEDERAL EXCISE TAX EXEMPT ,'7
IS 35- 60000972 670/45
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
P —/01 3x8995 *4 (,li g,-e cd
66/ PCIRS 6 L Mgt ,<ID h e le ;J SHIP /v
7 l 10677% cit eLio
k 4 VENDOR J� l SHim 2O .aN zcs /v %e? jai
bit /�r�ti 1s as
t9 0, cse a 9S'�1? le X» «0053
x CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
09 C'b�,d£cf ,vr A pop 4 4G0, `9-'-
40 00 a Wit
fr. cc 7-
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k $4
0.
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-.4.- 0 M a 40 7
ierncs Axe 65-/e 04,
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT l/ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
A. 1 '7S s -0?) I PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
t VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
0 SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
-J THIS SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP RSHAID..
a: C.O.D. SHIPMENTS CANNOT BE ACCEPTED. fh O J
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE /�V� 4.4 n i�v eL4. `f 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
23703 C LERK- TREASURER
DOCUMENT CONTROL NO. OFFICE coat
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