31768 American StructurepointCity ®f Carmel
ONE CIVIC SQUARE
r- CARMEL, INDIANA 46032 -2584
FO •PROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
PAGE
PURCHASE ORDER NUMBER
3l7(J)
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DEI.IVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
DESCRIPTION
VENDOR 72 60 �5Iinde� iif� �5'hitom
IhdonA6olis,SJV 96256
SHIP C n k
TO 30 11v4s'
l4Tft7ei, 7
s'/ 5(84- 22 0
¥6032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Send Invoice To: ( / e
4r(htleAtr& /nyint -to 9 fees.
Tor irn l (ohneclio /t 1efireem Re
/`Ian a/I AnJ 3 rl Ave 5 V
')O WA1AIn 51., Surfe 22
/nrmel) IA/ 46 032
PLEASE INVOICE IN DUPLICATE
$2z/, tId
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
• AMOUNT
'JOZ
g60807
"Ai SHIPPING INSTRUCTIONS
•EPAID.
• carb. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31768
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
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 S ORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THE IS_ AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUE;,�nL.J • 'AY FOR THE ABOVE ORDER.