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�� i1 Of Carmel CERTIFICATE 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT r. '-C ca / _ / y}
- 35-60000972 l_�
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.N
CARMEL, INDIANA 46032-2584 VOUCHER. DELIVERY MEMO, PACKING SLIP:
SHIPPING LABELS AND ANY CORRESPONDENCI
DAM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
1CHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
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DEPARTMENT ACCOUNT 1— PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
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NUMBER IS MADE A FART OF THE VOUCHER AND EVERY INVOICE AND
VOUCH AS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • IREI BY!ERTIEY THAT THERE IS A4UNOSUCATED BALANCE IN
•SH1P REPAI❑. T APPr•PRI•TION'UFFICIENT yr PAY FOR THE APO 7!ORDER
•C.C,D,SHIPMENTS CANNOT RE ACCEPTED. ORDERED BY a ‘,.4 , Fez
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS- / �� -
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1845 TITLE C ,5 ' /
AND ACTS AMENDATORY THEHEOF AND SUPPLEMENT THERETO.
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