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C ®f Carmel CERTIFICATE NO.003120155 002 0 ��
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT aU IT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE ,EXTENSION
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• PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Z--',S S--t 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 APPRO"I,TON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �/
SHIPPING LABELS. // 1"'
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
•DOCUMENT CONTROL NO. '2 6 7 4 O CLERK TREASUR
OFFICE COPY