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CERTIFICATE NO.003120155 002 0
PURCHASE ORDER Nr‘VIBER „.
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FEDERAL EXCISE TAX EXEMPT
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
P-U—R--C-H--A-S—E---0"-R—D—ER DATE --D--A"T'Efiiat:J-1-Rii? REQUISITION NO VENDORNO. DESCRIPTION
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QUANTITY UNIT O MEASURE DESCRIPTION UNIT PRICE . EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
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DEPARTMENT_____ I ACCOUNT PROJECT EPROJECTACCOUNTI M
PAY,M,Etli
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPllG INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. •
C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •,
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
TITLE . ••
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY