32352 Gibson TeldataCity of Carmel
N pt+n.0n+ of
ONE CIVIC SQUARE
' CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR
Le Loj
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
CITY OF CARMEL - 1997
PAGE
PURCHASE ORDER NUMBER
3a,35Q
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
VENDOR
67111son 1 6 -la-89'16 Inc -enno3 C IrcI.e
1-nct onapolls, IN 110060
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
DOCUMENT CONTROL NO. 32 352
Send Invoice To:
0 phono eqo )prnen+
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1180 -1-G D
L/4(0 -3100 ecmmuniaa-ho1j EgoIpn<PV1-f`
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• O0 . SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WIIH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
PAYMENT 01-7,00
• 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.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THI APPROPRIATIONSUFFIC ENrTO'PA'rro THE ABOVE ORDER.
CLERK-TREASURER
A.P.V. COPY -SIGGN AND RETURN TO CLERK'S OFFICE