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®f Carrriel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �d6.�/
35-60000972 ``��
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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QUANTITY ' UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE /C
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DEPARTMENT �f ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
4261 "/3-��V—�� 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 1
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRIATI.J_SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �i'� _ / /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 1 _ _ _
SHIPPING LABELS.
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•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THEREO.
20024 CLERK-TREASURER 1
DOCUMENT CONTROL NO. OFFICE COPY