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Carmel CERTIFICATE NO. O. 003120155 155 00 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT Zs 2SS R-
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP'
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
C 0 \(l 0L)-4- 46 a.0 02ko.at_
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE ci41--+
.DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT
NP 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 APPROPRIATION SUFFICI T -TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.0.0. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. f e
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 A TITLE 4 >.�l 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY