31837 AT&T Ciof Carmel CERTTIFICATE NO.003120155 M 02 0 PAGE
u. a Carmel LL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31 g al-
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
S/1 1 11
•
-4 -(
/c-T �__-.__...__ _
VENDOR SHIP p 0 '
S$ SS NOc-1 h COI Ies e A.6. TO °P rte ' �n`nrj".'^,,.-..._.�
1 o1 asn cAt0Ii s . IN 10220 I , •
l .e
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
4
F
QUANTITY - UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
a-I-C. O3 OS I
P9r�ernent it
Pr03eck • 11 05
0 0 U h I 11-./ I?e.i m I6 u�--5 e vn crVt
. t�q
f A ram 0 .40
Nite2t... c,,,,,___.,,,,,_
Send Invoice To. `,,,� ,
- 0 N-TE
S.2 31 , 884• I I
PLEASE INVOICE IN DUPLICATE 284, s
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 ANO
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C 0 E.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELU. - 4; AT
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. 318 3 1-y OFFICE COPY-