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LS/ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 7
FEDERAL EXCISE TAX EXEMPT 1 7 3 3
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
I 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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION J UNIT PRICE EXTENSION
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Send Invoice To: i 0
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PLEASE INVOICE IN DUPLICATE v
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
22
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ATP 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
SHIP REPAID. THIS APPROPRI AyION SUFFICIENTFOR THE ABOVE ORDER'1
C O. D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ///111
SHIPPING U
ORDER ISS I C/J_ -/KAi- /a A
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 1 ACTS 1945 TITLE CAL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 27 332 OFFICE COPY