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(jJ Carmel CERTIFICATE NO.003120155 002 0
\\��1�1�//// J+► PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2S-2-r �,,0
35-60000972 lS/
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 1 FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION " UNIT PRICE EXTENSION
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Send Invoice To: (l!Q
PLEASE INVOICE IN DUPLICATE 2 -r' :._`- - " ._ .
- DEPARTMENT ACCOUNT ! PROJECT PROJECT ACCOUNT AMOUNT
L , 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 CERTIFYTHAT//THIERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFIGIENT—TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID i t
I-
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL F ORDERED BY `
SHIPPING LABELS. D a•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 t TITLE �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.25260 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY