31766 American StructurepointCi of Gemmel
ONE CIVIC SQUARE
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
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
DESCRIPTION
VENDOR Amen «n 51 rot- lurep014--
72 6o shtick! old S- fn -►Joh
Ind
polls, '1115(
SHIP
TO
c R(
30 W Maih 5f, 501;fe 220
f krmel 14/ w032_
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE I
DESCRIPTION
UNIT PRICE
• EXTENSION
•
Send Invoice To: C R C
- -4-_ --"i 30 14/ Al i n 51, S a; fe 2
(4-1;4;14/ 146032
Arrfl;l((Jiff( Aviymeer/A) fees ... _SS,90a
for reior»ioh of DJ() Ener,y
�r
oh, f rd ( "� ✓e . W /o feJror prorerf/
\PLEASE INVOICE IN DUPLICATE
JO
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
61 02 'PI 6uX78
SHIPPING INSTRUCTIONS
.EPAID.
• .D. 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. 31766
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 SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA,y�(r ICIENT TO PAY FOR THE ABOVE ORDER.
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