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Carmel w 11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT '2.52��
1 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
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OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
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Send Invoice To: 1,,roar jjJrf_ {rj( �., g� _ �p I`t0O
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PLEASE INVOICE IN DUPLICATE- °"' ° ' '41%, -
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 THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI TION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. •
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY v P - pj//'7
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL •
SHIPPING LABELS.
•THIS ORDERISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,
2529 2., CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY