31762 Custom Wood Gifts CO� o f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
11n11 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 I/ ( 0 a
35-60000972 J v
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
137 I-17i Lk .
CvSV0Yr1 \N' 00d G �-k 5 . t ., qµ SHIP C�l rZ�c Oil S+��
VENDOR .5 I.cs5 1 V000,,^�\0(�10v� A ve, \ 51)1 I(_/ 1 I ' •
1).C) . `S Qx C(jo9 J TO 0(1 e GV 1L SCI VLl /`C.
or thoi.r1es \oityjSC (91LioLD -col7CP CctrY\AQ\,SN L\Q0 ? )
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
CarvYlek C,\AThc �t`\(
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'j� Co5 1 � °DC 0-ek j l - C'UJ�le I�i.'er � Ia .UO = �� � (7(�
C \ a par yIQCe_ J
0 Jr
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1 ,: •
111 3%
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S,end Invoice To: - .,,��y,.,�,...,,. a._ iI Oil
19,031 tA359 �j
—FDA-co _ A j L\ 50
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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
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIF THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI I SUEFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. //\\y,. /[// /�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE //J/I / [ '^—\ ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,
q CLERK-TREASURER
DOCUMENT CONTROL NO. 31762 OFFICE COPY