31763 Omni Center For Public Media 0¢¢¢¢,.,.����,,,,,,,, //�y� INDIANA RETAIL TAX EXEMPT PAGE \'?1
City ®f Carmel CERTIFICATE NO.0031201550020
PURCHASE ORDER NUMBER
w ' FEDERAL EXCISE TAX EXEMPT L- /') ( n
35-60000972 J t.li
ONE CIVIC SQUARE ` THIS NUMBER MUST APPEAR ON INVOICES.NP
CARMEL, INDIANA 46032-2584 / 1• VOUCHER, DELIVERY MEMO, PACKING SLIPS,
t it 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
/a /�1 f
Ornn\ CevI�Y e: v-of 'iu\6ii wuzd0 �c.- 0kk_( 04-- CGrN el ( 1
VENDOR �� J� � �7�171L�� 1. � �Ci r VA/QC, SHIP '.—Qe � . o Coves M Jn l � \E-l' \O l) 00s,
-P0 �-.O> 30 LI TO CO C n D/II,L eVe,\poi's.Lc0t
Cc�rwlelI T N3 Ckc�Sa ore C(v,z St(1/406Ire_
CarvvLel , r IV L(Le 0?
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
•
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
;cH 7 yors5I Dr?r1i s-erv1-us . ,, , l\3, la5=
6Ve03r v Nob 0 s
ftv\0cc,c P a 1")- 1(1 CeYevo0y a);8°co— ---
, 1. 0.F.,..P.A.. it --0,_ •
S
S 1c G , --
�' Ct
gd e � mot, re IN AM°co
Send Invoice To:
c___-....
0 GA • O
�J
to
co
-ceskiVn1 4-C06/ N, 0n1h( vents 7-o}aN = ik 13ID-5
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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 0 SUF ICIEST TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
Y
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / -
-
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELU.•
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 317 6 3 OFFICE COPY