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31842 Globe Asphalt I 0 PAGE City/��y� INDIANA RETAIL TAX EXEMPT ®f Cannel. CERTIFICATE NO.003120155 002 0 or PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31 942 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 5 120 1 % 1- . • Globe Aspha I+ Paving Co. , 1r,c- SHIP VENDOR (0445 T . loo-= St• /p. O . BOX \ GI (DE' TO Eri,tneer ir,5 . I end; ona.po n.. 11.1 9(02 1 q • CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ` Project # 13-0(0 (iti - -/-`--� Old Tow-, A) I-ey [�11A ©q � --±� S.!, Siv-eei NE +o l 11 Ull 'Il , 7'= si,- eei NE '� 4,;,, A . • \ . t _ .• • N T Send Invoice To: . 4: i�-- y.// �/`` • rl/ yJ131�1� 202 - 435 0100 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 SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID.. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER • DOCUMENT CONTROL NO. 31842 OFFICE COPY