31751 Ely Enterprises LLC .
INDIANA RETAIL TAX EXEMPT 'PAGE
01117 of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
/// \1•� FEDERAL EXCISE TAX EXEMPT 31751
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1-1121 /11-1
E I 1 6/in'pnses, LI_CJ CI 01 Ca(n,u l
VENDOR 231t LJ. fllau'L SHIP C.ok"lenolI 2.¢Iaf0195 DepY',-
CIO,niti T\ 4t0032_ TO On c.cc. t ewut.2
Carrn, l, -i l yio3Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
'To 2 Z 6 1/1 I-l..e YYl ov) pe(-Foy ni u nuL - r7 / r/ 714-I X00. 0 0
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Cp..:„p. • •v-.ems
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Send Invoice To: 14 `" ' 40 00 7
k 2-031 LI 359w3 `1(sob oo
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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION TO PAY FOR THE ABOVE ORDER.
•• SHIP RSHAIM OO// I
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /(`/,y/'/a�w✓/'/`
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELU. /l vcjr' /I ,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /G}( / h�1`"/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER,
DOCUMENT CONTROL NO. 31751 OFFICE COPY