25284 The Schneider Corp CityQ.•,�,, J��,e INDIANA RETAIL TAX EXEMPT PAGE
1\ .i ) o Carmel CERTIFICATE NO.003120155 002 0
\t/ a- y u ���111///1�+� �1.�1L PURCHASE ORDER NUMBER
- FEDERAL EXCISE TAX EXEMPT 2c2- 4
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.NP
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
NAPIAMMA
VENDOR SHIP >e\ . OF �,n ,.�Af∎ v1
' '�• SZAIW‘.t-\C_A+r- CO Y. - TO J S
•
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
'QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
tOSPt-t. krijenti-•. ?At os.a„ •,
: Olotiv\ St 4, 1�C� T \\1 A0( s .
* * iYJts * *• il
a.
Send Invoice To: `��J�l U/(f6j(jl �� O `� ZO °°
1JJ1J1 Jl vl
21t - c(o)
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
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS • IHEREBY CERT)Y THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP ION SU FICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. y' I
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY n �
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING ISSUED RD IR U. \
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1908 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25284 1.
CLERK-TREASURER
DOCUMENT CONTROL NO. -OFFICE COPY -
•