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31755 Cynthia Harden dba Cynthia Layne .Ci� of Carmel INDIANA RETAIL TAX 015500 PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3175 5 5 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 3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. • DESCRIPTION Cynthia Raid-nit Cdi or etwl u-I ck bk. C n+kirk. La vu. 0 2claT OnS Dc VENDOR $117 l'a IIJW�CIV(I-(i SHIP Caninnvni}u (t ' TO ont CAVIL- St Tnd.a.■Apolts, TrJ y(v2IH Cal rncl YkJ qIDD32 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASUREI • DESCRIPTION UNIT PRICE EXTENSION Jo72 Oh 4114 fionon WV-Co/Mama- - S ' 2/ 11-I - $L0Do. pO . `t ©G ( ' QG"lr� 1l .I. Avcr.P...... ' tt ... +10 end Invoice To: fj - 11 Or - 12o3f E4 3C9003 jlf�/ 5(.009.(x). • PLEASE INVOICE IN DUPLICATE DEPARTMENT .. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. • 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 THF E IS AN UNOBLIGATED BALANCE IN THIS AP ROPRIATION SUFF IEN 0 PAY FOR THE ABOVE ORDER. COO.SHIPMENTS. J �;,w/ C.O.O. CANNOT BE ACCEPTED.• ORDERED BY D � PURCHASE ORDER NUMBER MUST APPEAR ON ALL nil ,,/'' SHIPPING LABELS. TITLE �✓�/• �� ti?(0 h. /tiQ¢J ��\\ E��S�PPIEMENj\HEPETO.� ��// U �VED� 19\\pNCE�N��ap i\F.KS CT5`9A` CLERK-TREASURER � ��0_,, �E� �� OFFICE COPY • ( `v� r t F,, I . ( ' I i• pt,0 bAck' i y f i _r11MEN1_CO