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U1117U1 of Carmel. CERTIFICATE NO.0031201550020
,, \1/ PURCHASE ORDER NUMBER
-4 FEDERAL EXCISE TAX EXEMPT 3 I c 6 .) .
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
1 ' 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
1 QUANTITY • UAIIT OE MEASURE I DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To - --
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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
_P • I ,VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1rkf i I HEREBY CERTIFY THAT THERE ISANUNOBLIGATED BALANCE IN
:`.. 45 .THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID
IPM + 'I_...`,.
•C.0.0.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LRBELU. .1 in '` - COT/ft q /n ����/' -
' •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE VIA /� C�
i AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
- DOCUMENT CONTROL NO. 31580 OFFICE COPY