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City o Carmel CERTIFICATE NO.003120155 002 0
1i Carmel li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT (,Q81
35-60000972
--- 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
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
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Send Invoice To: . w $" u ? il,I A0.3/ ( 3 59 300 430, oov
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 PRO/'ER SWORN AFFIDAVIT-ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY TH ITHERE IS UNOBLIGATED BA SCE IN
THIS APPROPRIA'''[[[,f0 IC TT PAY FOR THE ABO E ORDER.
•SHIP REPAID
•C.O:D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS. �y
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE. ✓/,/V�,!~_w"-„—.----,.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26811 OFFICE COPY