31836 Crossroad Engineers � aR y Icy, INDIANARETAIL TAX EXEMPT PAGE
,iE .\ .��l � �� CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
��11� .•/// �a FEDERAL EXCISE TAX EXEMPT �'�
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
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•VENDOR
SHIP �v. Eek \042.tit VAS
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT v
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
AS PIC. .&k Ci
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ado
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ECr�s\ ■ F I r-ees`
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Send Invoice To: - �-
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20t ,00a
PLEASE INVOICE IN DUPLICATE 2o2 '`{ O\
DEPARTMENT ACCOUNT PROJECT - PROJECT ACCOUNT AMOUNT
I 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 • t+ERE&fteRTIF HAT-Th RE IS AN UNOBLIGATED BALANCE IN
• SHIP REPAID.
N CFF
IS APP ICI - ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ' •
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE \/ H •I I\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31836 CLERK-TREASURER R
OFFICE COPY