31657 Wilds Restoration Services f� Carmel INDIANA RETAIL TAX EXEMPT PAGE\`_ 1 \
1111 JI11 CERTIFICATE NO.003120155 002 0 ""C`
�� PURCHASE-ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT _3)1,5-7
35-60000972 I
• 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
-3?3.31 PI
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VENDOR 190 \ )V>S S\ACC1NK( Or../Q.--- TO C\VIC--
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: e 0� °1 ••��
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1 205 So\ PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFi4,THAT(THEE EIS AN UNOBLIGATED BALANCE IN
THIS APPROP• •TI N'SUFELCIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. (. -
/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY A
SHIPPING LABELS. , // / _
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �.VF_l//��1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C CLERK-TREASURER
DOCUMENT CONTROL NO. 316 5 7 OFFICE COPY