32015 Kyle Cochran s!.
City of f C sane l INDIANA RETAIL TAX 0155 002 � r PAGE
City I'�./ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32 01 S
35-60000972 _
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP
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
-71IL-1
ky't CochYOV\.. 77�� Cl of Caypvt �"
VENDOR 2508 war FAN }-r IV'L SHIP CoMrvn1Y11tL5 9J.IAt ohj D{r4-•
...r l TO On Civic,JJSl�6rc�
"v dlanapohs h.) ' ito2510 CuinuI, 3aJ 14uo3Z
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
SUnd 4 II55h-hric. StYV) J -F77/ Ayit s Desist,,-Distrtt en-nts S2 9c/o.0°
0 . ,,,,,
te
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4
Send Invoice To: `. ,_' ��
12o3 'y?�5�tuo3 ld
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 UNOBLIGATEO BALANCE IN
• SHIP REPAID.
THIS APPROPRIATION SU FICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. `%�/!`����`��,,,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / :API
"_H r 1411e-b"
SHIPPING LABELS. U4(T�,,V144 Q try �a b r
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .1 �'�°•"" /t"- )'�°a.p-Y‘�aXl�'/,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. VVV (l
DOCUMENT CONTROL NO. 32015 CLERK-TREASURER
OFFICE COPY