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27355 Nelson Alarm Inc
C i 1111 o f Carmel ('�S/ sane I' 11'1 INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT �I 73 SS 35- 60000972 0( I 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 VENDOR ;6 U 2.---1 rc jr---- SHIP TO SZ:fo 1 /qu CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Jo Q A IZ s 0 <S 0 Send Invoice To: ©3 G 1 5 .�1 a'Ae (ti 3 PLEASE INVOICE IN DUPLICATE 5 t. DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT /z os l,4 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 1 HEREBY CERTY THAT THERE 18 AN UNOBLIGATED BALANCE IN THIS APPROP•(ATION SU ICIENT TO PAY FOR•THE ABOVE ORDER. SHIP REPAID. CO.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST.APPEAR ON ALL ORDERED BY L• SHIPPING LABELS. A THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE /rA AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 7 3 5 5 CLERK TREASURER DOCUMENT CONTROL NO. OFFICE COPY