31760 Jerry Points - Eye on Art City ty o f Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
• FEDERAL EXCISE TAX EXEMPT 3) 7 (D 0
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 •
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
-i$ -aoiy
Jerry 'Pciir 1'S ' C_;ty o-c CnvY-r.c
&Yc Q r. !c o t- T Arc {. OC Co M•c NY\bill Pal CCh1M.S
• SHIP
VENDOR I )1 WeSi N{gMi Sy;IC 15O TO 4' Brio rl0rnic 0e yeI0p rv2.n.1•
CO -cA1 _N3 Cone Civic. S u�r�
1tao32 Carne 11 T
L-Iloo3Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS • FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
•
� �oord^v �Pra-es5ixt� StrvzeS u , 41 5000`25"-
• asci • j n Yn(Ltg e(f\rt-i�✓t=� e•{r TI'
Ue,n+ I mt\ v % {at•• -'
•5���n2 eS 4 -. 1 riraopA vow .Q
eke
Ca K Pike On Colr�l S `,I ' fi
/\ -•:
•U1J IA
OM Send Invoice To: .f —-li
1ao3 / `13 . 3D0 �3 x�s-
PLEASE INVOICE IN DUPLICATE •
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• ANP 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 APPROPRIATION UFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY �,L c
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
' •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE D I r•of /���� (I r
ee ns'm• 24 Y Lrcyn bo •
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .
DOCUMENT CONTROL NO. 31X60 CLERK-TREASURER R
OFFICE