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26824 12156 Meridian Associates
C0 ' sit INDIANA RETAIL TAX EXEMPT PAGE i ) 'or -Carmel CERTIFICATE NO.003120155 002-0 PURCHASE ORDER NUMBER y y FEDERAL EXCISE TAX EXEMPT , 2 �-2 1 , ii 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 PURCHASE ORDER.DATE DATE REQUIRED REQUISITION NO. , VENDOR NO. DESCRIPTION 5123k I I rYlcrI CIO vT I15500 rn5, LLG CI of Cc-rrrut VENDOR 2-0o (1,ct ta.t Dr'irei ¬ P SHIP Coa$ un'lti 12C.ta'hcrls ep-i- • Cam rind, m 4(1032 TO . 0(t CIVIC540ULtK, ...+ Carr/0) TN) L1l0032 CONFIRMATION '...BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE s, . DESCRIPTION UNIT PRICE EXTENSION T 2013 `lot Ruiz) - Sou-thwts4- coy'' /of W. 'Ma,n St Mona-, 3 ) 35.°D - Jell oh+k# YY10novl ( 5 ut✓ti-s e 4 i 3 S CoCIn ) _ ,t 17577, p° D.Le Is, :Jur i zZ j — q,lJsf 3 peCla �uev� or ©Q S t $% ..a. •• °4. 0' 0,..>„ A '''.1) es, . (fj s•• • ,.. 9 � Send Invoice To ' ( E G 12°3 i 4 35 e 003 Q� /y ..t' N'O! .I.;� 5r.). I'D - • PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Y PAYMENT • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. p NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND .+.f VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN LC, THIS APPROPRIATIONS FICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. /1 / •C.O.D.SHIPMENTS CANNOT BEACCEPTED I/. 4. !,_ `� rp �p "• • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY !I !/(ii/"✓"-1 / SHIPPING LABELS //J� V •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /c' , "'-' ' I tc 1. (On. Oecici`-cr. AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ill CLERK-TREASURER DOCUMENT CONTROL NO. 26824 OFFICE COPY