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31537 Carmel Utilities
Cityi ®f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31 (53-y 35-60000972 Jl 7 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,ASP 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 VENDOR Cnrme I U-II I Il I e5 SHIP (1`Y 30 W, tikin 51- TO 30 W. Mien 5I. / ( Nrme\ 11 r✓ 4ki132 (urincl ,ZN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION I r e n-F cram Au9 u 5,4- 2 01) 1 o i 1300," DE ( e0,\lPF 2a • • fjjjJ� �!!lr�i 44 6 v.. • • � A •(5 w�.L` .• ..........• .• • O Sir y%O.� ..©0 0 0 . Send Invoice To: �� j� ( roc J � 01 3 0 vl✓ )Vin 51 . t ( r 111P ' r // ,1 I3032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT IgoIi2500 PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. ' 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /�-7 ORDERED BY � y •PURCHASE ORDER NUMBER MUST APPEAR ON ALL I , SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / v/C-__ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ) CLERK-TREASURER DOCUMENT CONTROL NO. 31537 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE •