31749 Regal Printing City of f C sane l INDIANA RETAIL TAX EXEMPT PAGE
1111 CERTIFICATE NOO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3174 9 .
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
3/3 t 1;H ,
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VENDOR 'lOJ arOCILC �pr. SHIP COPhnYILVIIhJ R(1 all 0.0 S' OPy".
Carmcl SN TO On< Cv,L sr�oa c
4tvo3Z Carmel, /Ay 4Loo3Z
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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: -(t •^'
12D' ILI3ccoo; ..
)Li, 820. "
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 P•OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS - • I HEREBY CERTIFY AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI! SUF ICIEIPT TO PAY FOR THE ABOVE ORDER.
•SHIP O /
REPAID.
-.-a---18-1 p
•C. D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PUR CHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. / I /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
CLERK-TREASURER
DOCUMENT CONTROL NO. 31749 OFFICE COPY OPY