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\�/ of Carmel arme CERTIFICATE NO.003120155 002 0— PURCHASE ORDER NUMBER
City \t/ 1LL1 •-.0
FEDERAL EXCISE TAX EXEMPT 2S-0.'
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP
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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Send Invoice To: --4,--uU�( ��L� u1 E `l,
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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 PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAYTHERE IS AN UNOBLIGATED BALANCE IN
• THIS APPROPRIATION.UF ICIENT-TO PAY FOR THE ABOVE ORDER.r.
CO REPAID. / - /
••C.O.DD..SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL -, I I
SHIPPING LABELS. /1 V//I��/`'✓✓�`"'/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 3 0 4 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY