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®f ar (� CERTIFICATE NO.003120155 002 0 � � `' '
Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 )U 7L?
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
ettCOIAMT 641 `"dY 1 - -.s; dP °11-/?1?-
61 e J- �P Y a61J 7Wit— Svv
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Send Invoice To:
110.S
PLEASE-INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1 a.-3 g Svc 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 • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP: .TI.N-SU FICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. / ^
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 4 �.4 ris
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
4
26741 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY